Individual
ANNA ROSE WIEMKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4622 40TH AVE S STE A, FARGO, ND 58104-4394
(701) 364-8900
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200289
ND
Other
Enumeration date
07/29/2024
Last updated
05/04/2026
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