| NPI | 1407685415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL L FALEIDE Nurse Practitioner 701-807-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-05-07 |