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Individual

ELISABETH ANNE BARLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8737
MN
363L00000X
Nurse Practitioner
Primary
R40921
ND
363LF0000X
Family Nurse Practitioner
111675
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1461985
ND
Enumeration date
08/21/2014
Last updated
02/25/2022
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