Individual
DAVID ROGER BLANEY ALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 293-4113
(701) 293-4109
Mailing address
1919 ELM ST N, FARGO, ND 58102-2416
(701) 293-4113
(701) 293-4109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5988-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5988-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
06/04/2024
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