Individual
CARRIE MECKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10 NORTH RIVER ROAD, FT YATES, ND 58538
(701) 854-8347
Mailing address
10 N RIVER ROAD, FORT YATES, ND 58538
(701) 854-8347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R31367
ND
Other
Enumeration date
10/21/2013
Last updated
06/02/2014
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