Individual
NICOLE WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 280-9545
Mailing address
1202 WESTRAC DRIVE SUITE 400, FARGO, ND 58103
(701) 280-9545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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