Individual
JULIANNE LEGIERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10 MISSLE AVE 5TH MEDICAL GROUP, MINOT AFB, ND 58405-2040
(701) 723-5633
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5663
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024179913
VA
Other
Enumeration date
08/16/2020
Last updated
06/25/2023
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