Individual
LANESSA HERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 28TH ST S, SUITE A, FARGO, ND 58103-2325
(701) 793-4369
Mailing address
825 28TH ST S, SUITE A, FARGO, ND 58103-2325
(701) 793-4369
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R168292-2
MN
163WH0200X
Home Health Registered Nurse
Primary
R31877
ND
Other
Enumeration date
04/09/2014
Last updated
05/30/2014
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