Individual
MERIT FL FONDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 GATEWAY DR NE STE 1, EAST GRAND FORKS, MN 56721-1621
(218) 207-2020
(800) 582-1083
Mailing address
210 GATEWAY DR NE STE 1, EAST GRAND FORKS, MN 56721-1621
(218) 207-2020
(800) 582-1083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R219786-9
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4015
MN
Other
Enumeration date
07/29/2015
Last updated
02/10/2025
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