BREANNA DINAE MOHAGEN

FARGO, ND
NPI1083368054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: ND  R40018)
Enumeration Date2022-02-09
Last Update Date2022-02-09
Business Address
BREANNA DINAE MOHAGEN APRN
1701 38TH ST S
FARGO, ND 58103-4499
Phone number: 701-356-1600
Mailing Address
BREANNA DINAE MOHAGEN APRN
2915 BLUESTEM DR APT 3199
WEST FARGO, ND 58078-8046
Phone number: 701-936-5488