Individual
MICHELLE DAWN CRISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6242
MN
363LF0000X
Family Nurse Practitioner
Primary
6242
MN
Other
Enumeration date
10/16/2018
Last updated
04/06/2021
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