| NPI | 1457017444 |
|---|---|
| Doing Business As | CONVENIENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMBER L HEWSON Partner/Administrator 701-532-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2021-11-13 |
| Last Update Date | 2021-11-13 |