Individual
MRS. MAKENZIE JULIA BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2422 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 953-1050
Mailing address
1100 2ND AVE SW, RUGBY, ND 58368-2402
(701) 710-1429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R41764
ND
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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