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Individual

DANIELLE L EIDENSCHINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN/CNP

Contact information

Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
1827 460TH ST, TWIN VALLEY, MN 56584-9324
(218) 849-1163

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R40415
ND

Other

Enumeration date
01/13/2021
Last updated
09/11/2024
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