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Individual

JOLENE ENGELHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
215 3RD AVE W, RICHARDTON, ND 58652-7109
(701) 974-3372
(701) 974-3220
Mailing address
215 3RD AVE W, RICHARDTON, ND 58652-7109
(701) 974-3372
(701) 974-3220

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R23250
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19826
ND
01
P00767212
RR MEDICARE
ND
Enumeration date
01/22/2007
Last updated
03/01/2023
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