Individual
FELICIA GREYWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4236
(701) 766-4878
Mailing address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4236
(701) 766-4878
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468100
—
ND
Enumeration date
07/23/2026
Last updated
07/23/2026
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