Individual
KELSEY LEIGH O'HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
7416 W 104TH ST, BLOOMINGTON, MN 55438-2115
(952) 456-2596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R46825
ND
367A00000X
Advanced Practice Midwife
Primary
R46825
ND
Other
Enumeration date
09/30/2018
Last updated
09/27/2023
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