Individual
MISTI BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 N MAIN ST STE 311, WATFORD CITY, ND 58854-7308
(701) 444-2888
(701) 444-2813
Mailing address
PO BOX 1256, WATFORD CITY, ND 58854-1256
(701) 444-2888
(701) 444-2813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29786
ND
Other
Enumeration date
09/15/2016
Last updated
03/08/2023
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