Individual
TERRY L BREIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-7400
(701) 280-4492
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-7400
(701) 280-4492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R29748
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19875
—
ND
Enumeration date
08/13/2007
Last updated
12/19/2007
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