| NPI | 1841960416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN NICHOLE TUDAHL Owner/Provider 701-394-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-10-06 |