Individual
MICHELLE JILL REXINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 37TH AVE S # 1, FARGO, ND 58104-3400
(701) 516-4637
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208-3238
(701) 516-4637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R31653
ND
363L00000X
Nurse Practitioner
Primary
R31653
ND
Other
Enumeration date
03/10/2022
Last updated
11/14/2024
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