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Individual

APRIL ALISA QUALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
2801 UNIVERSITY DR S, PLASTIC SURGERY, FARGO, ND 58103-6029
(701) 234-8900
(701) 234-8475
Mailing address
2801 UNIVERSITY DR S, PLASTIC SURGERY, FARGO, ND 58103-6029
(701) 234-8900
(701) 234-8475

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R 137321-5
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
R36842
ND

Other

Enumeration date
04/02/2012
Last updated
11/01/2016
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