Individual
DEBORAH B ROERIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 234-2000
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-4111
(701) 234-4130
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R29007
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278555200
—
MN
05
—
70018
—
ND
Enumeration date
07/24/2006
Last updated
11/14/2012
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