Individual
AUDREY ECKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-1360
Mailing address
1240 25TH ST S, FARGO, ND 58103-2367
(701) 241-1360
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R22259
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15458
BCBS
ND
01
—
167M8EC
BCBS
MN
05
—
312516500
—
MN
Enumeration date
10/26/2006
Last updated
10/08/2015
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