Individual
NATHANIEL DENNIS MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,CNP
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R48270
ND
Other
Enumeration date
06/12/2024
Last updated
08/12/2024
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