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Kellie Weisenburger, FNP
Family Nurse Practitioner in Underwood, North Dakota
NPI 1134118748

Kellie Weisenburger is a Family Nurse Practitioner based in Underwood, ND and is specialized in Family. Kellie Weisenburger practices in Underwood, ND and has the professional credentials of FNP. The NPI Number for Kellie Weisenburger is 1134118748 and holds a License No. R25051 (North Dakota).

The current practice location address for Kellie Weisenburger is 87 Lincoln Ave, Underwood, ND and can be reached out via phone at 701-442-3148 and via fax at 701-442-3414.

Location: 87 Lincoln Ave, Underwood, ND, 58576-0253
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Provider Profile Details
NPI Number
1134118748
Provider Name
Kellie Weisenburger
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
87 Lincoln Ave, Underwood, ND, 58576-0253
Phone Number
701-442-3148
Fax Number
701-442-3414
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025563 01 ND BCBS
19789 05 ND
A63211044293 01 PREFERRED ONE
007 01 AMERICA'S PPO
025564 01 ND BCBS
P00300571 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
87 Lincoln Ave
City
State
Zip
58576
Phone Number
701-442-3148
Fax Number
701-442-3414
person
Provider Business Mailing Address Details
Address
87 Lincoln Ave
City
State
Zip
58576
Phone Number
701-442-3148
Fax Number
701-442-3414
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R25051 (North Dakota)
Definition
Definition to come...
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