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Avis L Grothem, FNP/CNM
Obstetrics & Gynecology Nurse Practitioner in Fargo, North Dakota
NPI 1841379401

Avis L Grothem is a Obstetrics & Gynecology Nurse Practitioner based in Fargo, ND and is specialized in Obstetrics & Gynecology. Avis L Grothem practices in Fargo, ND and has the professional credentials of FNP/CNM. The NPI Number for Avis L Grothem is 1841379401 and holds a License No. R29668 (North Dakota).

The current practice location address for Avis L Grothem is 306 4Th St N, Fargo, ND and can be reached out via phone at 701-239-7111.

Location: 306 4Th St N, Fargo, ND, 58108-2625
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Provider Profile Details
NPI Number
1841379401
Provider Name
Avis L Grothem
Credential
FNP/CNM
Provider Entity Type
Individual
Gender
Female
Address
306 4Th St N, Fargo, ND, 58108-2625
Phone Number
701-239-7111
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19747 05 ND
527465600 05 MN
institution
Provider Business Practice Location Address Details
Address
306 4Th St N
City
State
Zip
58102-4820
Phone Number
701-239-7111
Fax Number
person
Provider Business Mailing Address Details
Address
306 4Th St N
City
State
Zip
58102-4820
Phone Number
701-239-7111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
R29668 (North Dakota)
Definition
Definition to come...
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