Individual
KATIE ROTHE PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 S 38TH ST, GRAND FORKS, ND 58201-3716
(701) 741-9204
Mailing address
1296 S 38TH ST, GRAND FORKS, ND 58201-3716
(701) 741-9204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R32279
ND
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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