Individual
MARY E KRUPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-6259
(701) 234-7334
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R25378
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12826
—
ND
Enumeration date
07/17/2006
Last updated
06/17/2025
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