institution
Underwood Clinic Pc
Family Nurse Practitioner in Underwood, North Dakota
NPI 1770591927

Underwood Clinic Pc is a Family Nurse Practitioner based in Underwood, ND and is specialized in Family. Underwood Clinic Pc practices in Underwood, ND. The NPI Number for Underwood Clinic Pc is 1770591927 and holds a License No. R25469 (North Dakota).

The current practice location address for Underwood Clinic Pc 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
institution
Provider Profile Details
NPI Number
1770591927
Provider Name
Underwood Clinic Pc
Credential
Provider Entity Type
Organization
Address
87 Lincoln Ave, Underwood, ND, 58576-0253
Phone Number
701-442-3148
Fax Number
701-442-3414
Provider Enumeration Date
08/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13448 05 ND
A63211044293 01 PREFERRED ONE
06053002 01 ND BCBS
18607 05 ND
DA6139 01 RR MEDICARE
A63211046001 01 PREFERRED ONE
06053001 01 ND BCBS
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.
R25469 (North Dakota)
Definition
Definition to come...
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