Individual
JOANNA M. BREDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4023
(701) 234-4050
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MS
363AM0700X
Medical Physician Assistant
Primary
PAC0528
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528243573
—
MN
05
—
71317
—
ND
Enumeration date
01/08/2008
Last updated
12/04/2013
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