Individual
ANGELA HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(218) 333-5541
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6757
MN
363LF0000X
Family Nurse Practitioner
6757
MN
Other
Enumeration date
07/25/2019
Last updated
02/22/2023
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