Individual
JOANNE A BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1102 MAIN, WILLISTON, ND 58801-4233
(701) 572-7711
(701) 572-2283
Mailing address
1102 MAIN, WILLISTON, ND 58801-4233
(701) 572-7711
(701) 572-2283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25271
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19570
—
ND
Enumeration date
10/16/2006
Last updated
11/12/2009
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