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Individual

NIKKI HALVORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
314 5TH ST W STE 1, BOTTINEAU, ND 58318-1204
(701) 228-3613
Mailing address
314 5TH ST W STE 1, BOTTINEAU, ND 58318-1204

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6135
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1460612
ND
Enumeration date
06/15/2026
Last updated
06/16/2026
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