Individual
BILLIE J MADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 7TH ST NE, DEVILS LAKE, ND 58301-2719
(701) 662-2157
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R26948
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454082
—
ND
01
—
500021466
RR MEDICARE
ND
01
—
R26948
LICENSE
ND
Enumeration date
02/16/2007
Last updated
02/08/2022
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