Individual
DEBRA K DOCKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1000 E ROSSER AVE, BISMARCK, ND 58501-4414
(701) 530-6010
(701) 530-6430
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6010
(701) 530-6430
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R21549
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00223229
MEDICARE RAILROAD
ND
Enumeration date
05/28/2006
Last updated
07/29/2010
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