Individual
DANIELLE MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 SUNSET DR, MANDAN, ND 58554-1540
(701) 667-4600
(701) 530-3780
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25501
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451787
—
ND
Enumeration date
09/28/2006
Last updated
04/20/2017
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