Individual
DR. CHARLOTTE JOAN EWALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
860 S COLUMBIA RD, GRAND FORKS, ND 58201-4028
(701) 780-6697
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R47119
ND
Other
Enumeration date
11/24/2018
Last updated
08/18/2021
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