Individual
MRS. PAGE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2465133
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R54903
ND
Other
Enumeration date
06/29/2023
Last updated
10/16/2023
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