MCKENZIE ANN DISRUD

GRAND FORKS, ND
NPI1265093124
Former NameMCKENZIE ANN BROWN
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ND  RH1306)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
363LF0000X Nurse Practitioner, Family
(Licence: ND  F06191893)
Enumeration Date2019-06-21
Last Update Date2025-01-30
Business Address
Mrs. MCKENZIE ANN DISRUD FNP
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201-5895
Phone number: 701-516-4637
Mailing Address
Mrs. MCKENZIE ANN DISRUD FNP
PO BOX 13238
GRAND FORKS, ND 58208-3238
Phone number: 015-164-6377