Individual
JANICE M NICKLAY CATALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
(701) 234-7380
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
(701) 234-7380
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
10066
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045534
PREFERREDONE
—
05
—
13570
—
ND
01
—
25983
ND BCBS
—
01
—
371G0CA
MN BCBS
MN
01
—
4700222
MEDICA
—
01
—
701977700
MN MA
—
01
—
HP55687
HEALTHPARTNERS
—
Enumeration date
12/12/2006
Last updated
11/30/2011
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