Individual
BRANDON MITCHELL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2363567
MN
367500000X
Certified Registered Nurse Anesthetist
2363567
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R51646
ND
Other
Enumeration date
11/11/2021
Last updated
03/30/2022
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