Individual
JOSEPH HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R31691
ND
363LA2200X
Adult Health Nurse Practitioner
Primary
R31691
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460804
—
ND
Enumeration date
07/15/2014
Last updated
12/24/2015
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