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Individual

MS. BRENDA MARQUARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.N.P.

Contact information

Practice address
516 MAIN ST, BOTTINEAU, ND 58318-1203
(701) 534-0109
(866) 640-0723
Mailing address
516 MAIN ST, BOTTINEAU, ND 58318-1203
(701) 534-0109
(866) 640-0723

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R28608
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454837
ND
Enumeration date
07/07/2005
Last updated
03/18/2022
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