Individual
MS. AUDREY M URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSED
Contact information
Practice address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7469
Mailing address
300 13TH AVE W, SUITE 1, DICKINSON, ND 58601-4879
(701) 227-7469
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54523
—
ND
Enumeration date
04/17/2007
Last updated
01/05/2009
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