Individual
BRETT LEE HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/BSN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2498
(701) 232-3241
Mailing address
1309 SOUTHVIEW DR SW, GLYNDON, MN 56547-4442
(801) 520-0510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R35255
ND
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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