Individual
CHRISTINE HARSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
212 S 4TH ST STE 301, GRAND FORKS, ND 58201-4776
(701) 757-2100
(701) 757-0305
Mailing address
212 S 4TH ST STE 200, GRAND FORKS, ND 58201-4781
(701) 757-2100
(701) 757-0305
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R31123
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-11646
MEDICA
—
01
—
1982861647
MN BCBS
MN
01
—
1982861647
ND BCBS
ND
01
—
1982861647
PREFERRED ONE
—
05
—
1982861647
—
MN
05
—
19910
—
ND
Enumeration date
05/20/2008
Last updated
07/10/2019
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