Individual
MR. IAN L. GREYBULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
300 WEST CENTURY AVE, BISMARCK, ND 58503
(701) 323-9900
(701) 323-9911
Mailing address
300 WEST CENTURY AVE, BISMARCK, ND 58503
(701) 323-9900
(701) 323-9911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R29280
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084031
—
ND
Enumeration date
09/29/2010
Last updated
03/05/2012
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