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Individual

DONNA M AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDE

Contact information

Practice address
1040 TACOMA AVE, BISMARCK, ND 58504-7452
(701) 323-6990
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
R17980
ND
163WD0400X
Diabetes Educator Registered Nurse
Primary
R17980
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20633
BCBSND
ND
Enumeration date
10/11/2006
Last updated
09/19/2024
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