Individual
MARIANNE YOUNG EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-8469
(701) 477-2525
Mailing address
PO BOX 160, BELCOURT, ND 58316-0160
(701) 477-8469
(701) 477-2525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R25614
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010636
—
ND
Enumeration date
09/01/2017
Last updated
09/01/2017
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