Individual
KAYLA LYNN BACHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4141 31ST AVE S STE 105, FARGO, ND 58104-8778
(701) 314-4008
(701) 829-7247
Mailing address
1328 35TH AVE S, MOORHEAD, MN 56560-5134
(320) 760-8064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R39003
ND
Other
Enumeration date
07/31/2018
Last updated
10/11/2023
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