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MIKAILA DAWN LIVINGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5225 23RD AVE. S, FARGO, ND 58104
(701) 331-1070
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201281
ND
363LA2100X
Acute Care Nurse Practitioner
TEMP201281
ND

Other

Enumeration date
10/29/2024
Last updated
01/17/2025
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