Individual
JULIE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NP-C
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 340-6936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R40323
ND
Other
Enumeration date
05/20/2020
Last updated
03/31/2022
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