Individual
ERICA WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R30635
ND
363LF0000X
Family Nurse Practitioner
R30635
ND
Other
Enumeration date
07/07/2015
Last updated
03/30/2022
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