Individual
LOUISE KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104
(701) 417-2575
(701) 417-2535
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
(701) 417-2535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R47368
ND
Other
Enumeration date
02/20/2015
Last updated
04/23/2019
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