Individual
BROOKS THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 290-0636
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R39200
ND
363LF0000X
Family Nurse Practitioner
Primary
R39200
ND
Other
Enumeration date
06/05/2019
Last updated
09/04/2019
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