Individual
DR. VANESSA ELAINE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-8900
Mailing address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36639
ND
Other
Enumeration date
06/28/2016
Last updated
06/10/2021
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