Individual
WORKU METAFERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335-0309
(701) 766-1600
Mailing address
9834 N HIGHLAND TER, KANSAS CITY, MO 64155-3132
(816) 654-4201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016009885
MO
363LF0000X
Family Nurse Practitioner
Primary
R47277
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437500972
NPI
—
Enumeration date
06/27/2016
Last updated
07/25/2023
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