Individual
RINA MYKLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3301 30TH AVE S STE 102, GRAND FORKS, ND 58201-6009
(877) 522-1275
(833) 888-7145
Mailing address
3301 30TH AVE S STE 102, GRAND FORKS, ND 58201-6009
(877) 522-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201500844NP PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201500844NP PP
OREGON NURSE PRACTITIONER LICENSE
OR
Enumeration date
02/11/2015
Last updated
12/09/2022
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