Individual
KEVIN P CHAUSSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1421 MAPLETON AVE, BISMARCK, ND 58503-5371
(701) 877-1577
(833) 592-2359
Mailing address
1421 MAPLETON AVE, BISMARCK, ND 58503-5371
(701) 877-1577
(833) 592-2359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R25099
ND
363LF0000X
Family Nurse Practitioner
R25099
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1461171
—
ND
05
—
7771490
—
SD
Enumeration date
07/24/2006
Last updated
07/01/2025
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