Individual
CARMEN MITTLEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
2430 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 253-5300
(701) 253-5402
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R27769
ND
Other
Enumeration date
09/23/2015
Last updated
12/29/2015
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