Individual
MARYANN GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
(701) 483-5018
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
(701) 483-5018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
170319
CO
363L00000X
Nurse Practitioner
Primary
R19655
ND
363LA2200X
Adult Health Nurse Practitioner
R19655
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19931
—
ND
Enumeration date
03/07/2007
Last updated
05/20/2025
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