Individual
ELIZABETH MARIE ENGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
410 NORTH 4TH STREET, MAHNOMEN, MN 56557
(218) 935-2514
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6210
MN
Other
Enumeration date
10/01/2018
Last updated
04/05/2022
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