| NPI | 1649355157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE LEE TODD Fnp Owner 701-258-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R25050) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |