Individual
KASAR MAII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2877 MCLEOD DR E, WEST FARGO, ND 58078-8508
(701) 540-1239
Mailing address
2877 MCLEOD DR E, WEST FARGO, ND 58078-8508
(701) 540-1239
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R38479
ND
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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