Individual
PATTY A LIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R13793
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T74LI
MNBS #
ND
01
—
023H5LI
MNBS #
ND
01
—
0407590
MEDICA #
ND
01
—
0408096
MEDICA #
ND
01
—
137048
UCARE #
ND
05
—
19801
—
ND
01
—
26364
NDBS #
ND
01
—
29Q36LI
MNBS #
ND
01
—
3449
SIOUX VALLEY #
ND
01
—
4724
NDBS #
ND
05
—
519515200
—
ND
01
—
680150
AMERICA'S PPO/ARAZ #
ND
01
—
DA9051026978
PREFERRED ONE #
ND
01
—
HP19529
HEALTHPARTNERS #
ND
Enumeration date
06/28/2006
Last updated
08/22/2011
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