Individual
DONNA FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2475 32ND AVE S, GRAND FORKS, ND 58201-3606
(701) 775-4209
Mailing address
5217 7TH AVE N, GRAND FORKS, ND 58203-1870
(701) 739-0527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R36325
ND
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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