Individual
TAYLOR ELIZABETH MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8000
(701) 364-8078
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R47334
ND
Other
Enumeration date
09/14/2015
Last updated
07/11/2019
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