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Individual

KADIE ERIKSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
1142 SANTA FE AVE, BISMARCK, ND 58504-8122
(763) 607-6213

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R44115
ND

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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