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Individual

MRS. ANNIE MARGARET GERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC, PMHNP-BC

Contact information

Practice address
1001 7TH STREET NE, DEVILS LAKE, ND 58301-1100
(701) 662-2157
(701) 662-4116
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208
(701) 662-2157
(701) 662-4116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R27319
ND
363LF0000X
Family Nurse Practitioner
R27319
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R27319
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19743
ND
01
P00046239
RR MEDICARE
ND
Enumeration date
06/18/2006
Last updated
04/19/2024
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