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Individual

NIKKI J ECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
737 BROADWAY N, FARGO, ND 58102-4421
(701) 234-5621
(701) 234-7334
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-5621
(701) 234-7334

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R29368
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14454
ND
05
237122100
MN
Enumeration date
10/12/2007
Last updated
04/22/2008
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