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Individual

DESIREE A DESJARDINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3108 S BROADWAY STE H, MINOT, ND 58701-3127
(701) 852-8502
(701) 425-0402
Mailing address
3108 S BROADWAY STE H, MINOT, ND 58701-3127
(701) 852-8502
(701) 425-0402

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R27966
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1475416
ND
Enumeration date
06/11/2010
Last updated
10/29/2018
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