Individual
KELLY PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2401 S WASHINGTON ST STE F, GRAND FORKS, ND 58201-6747
(701) 248-8216
(866) 792-0267
Mailing address
2401 S WASHINGTON ST STE F, GRAND FORKS, ND 58201-6747
(701) 248-8216
(866) 792-0267
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
135592
TN
363LA2200X
Adult Health Nurse Practitioner
14565
TN
363LF0000X
Family Nurse Practitioner
Primary
R30038
ND
Other
Enumeration date
11/20/2009
Last updated
10/16/2023
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