Individual
BRENDA RICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4622 40TH AVE S, FARGO, ND 58104
(701) 232-6211
Mailing address
1517 32ND AVE S, FARGO, ND 58103-5905
(701) 232-6211
(701) 364-9346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R23084
ND
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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