Individual
MIKAYLA MOHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(800) 437-4010
Mailing address
6251 49TH AVE S, FARGO, ND 58104-4522
(701) 446-6032
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R37916
ND
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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