Individual
CONDETTA NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4 N PARK ST, NORTHWOOD, ND 58267-4102
(701) 587-6060
(701) 587-6009
Mailing address
PO BOX 190, NORTHWOOD, ND 58267-0190
(701) 587-6060
(701) 587-6009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAC0060
ND
363L00000X
Nurse Practitioner
R18461
ND
363LF0000X
Family Nurse Practitioner
Primary
R18461
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-19170
MEDICA
—
05
—
102795600
—
MN
05
—
19733
—
ND
01
—
24023
ND BCBS
—
01
—
268M8NE
MN BCBS
MN
01
—
NA9481022062
PREFERRED ONE
—
Enumeration date
07/21/2005
Last updated
11/29/2023
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