Individual
MS. GAIL RAE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
360 DIVISION AVE, SUITE 200, GRAND FORKS, ND 58201-4702
(701) 775-4251
(701) 775-3691
Mailing address
18408 430TH SWAVE, EAST GRAND FORKS, MN 56721-9257
(701) 739-1820
(218) 773-1560
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R29615
ND
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
R118302-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53595
—
ND
Enumeration date
10/06/2005
Last updated
08/26/2015
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