Individual
LEONA ANN ENGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 729-1695
Mailing address
2605 11TH ST S, FARGO, ND 58103-6005
(701) 729-1695
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R36518
ND
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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