Individual
EKTABEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 234-7400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R42973
ND
363LP2300X
Primary Care Nurse Practitioner
Primary
R42973
ND
Other
Enumeration date
09/23/2022
Last updated
08/02/2023
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