Individual
KIMBERLY C IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 221-9152
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R31703
ND
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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