Individual
RUSSELL JAMES NIFFENEGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2100 S COLUMBIA RD STE 114, GRAND FORKS, ND 58201-5895
(701) 516-4637
(877) 651-1381
Mailing address
1079 DEER TRAIL LN NE, THOMPSON, ND 58278-9400
(701) 740-9272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R42886
ND
Other
Enumeration date
08/14/2023
Last updated
03/28/2024
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