Individual
MS. KRISTIE L TODD-REISNOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 W CENTURY AVE, BISMARCK, ND 58503-1405
(701) 530-7000
Mailing address
300 W CENTURY AVE, BISMARCK, ND 58503-1405
(701) 751-4340
(701) 751-4332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R25050
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462645
—
ND
01
—
27671
BCBS ND
ND
Enumeration date
09/15/2006
Last updated
01/23/2018
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