Individual
KATHLEEN RUDE HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
718 OAK ST, GRAND FORKS, ND 58201-4460
(701) 746-5359
Mailing address
718 OAK ST, GRAND FORKS, ND 58201-4460
(701) 746-5359
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R11385
ND
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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