Individual
JANA KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 MAIN ST SE, DUNSEITH, ND 58329-0088
(701) 244-5694
(701) 244-5329
Mailing address
800 S MAIN AVE, RUGBY, ND 58368-2118
(701) 776-5235
(701) 776-5297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R40025
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468190
—
ND
Enumeration date
07/01/2016
Last updated
02/28/2017
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