Individual
MISTY K FALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 4TH ST E, WILLISTON, ND 58801-5350
(701) 577-9255
(701) 577-2881
Mailing address
3 4TH ST E, WILLISTON, ND 58801-5350
(701) 577-9255
(701) 577-2881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
171311
CO
363LF0000X
Family Nurse Practitioner
Primary
R26168
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71038710
—
CO
Enumeration date
06/24/2006
Last updated
12/01/2010
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