Individual
BREANN MARIE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 S 12TH ST STE 101, BISMARCK, ND 58504-5941
(701) 255-4242
Mailing address
914 S 12TH ST STE 101, BISMARCK, ND 58504-5941
(701) 255-4242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R38914
ND
Other
Enumeration date
01/25/2017
Last updated
04/07/2021
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