Individual
DEMARIS A FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 W 1ST STREET, VELVA, ND 58790
(701) 338-2066
(701) 338-2048
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0160
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11058
—
ND
Enumeration date
10/11/2006
Last updated
07/08/2007
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