Connie M Ebach NP

NPI 1053417493 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053417493
Gender Female
Enumeration Date 09/15/2006
Last Updated 09/04/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
222 N 7TH ST
BISMARCK ND, 58501-4436, US
Phone (701) 323-6000
Fax (701) 323-5709
Business Location
PO BOX 5501
BISMARCK ND, 58506-5501, US
Phone (701) 323-6000
Fax (701) 323-5709
Toxanomy
Taxonomy Code 363L00000X
License State North Dakota
License Number R22087
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According to our database, Connie M Ebach NP NPI is 1053417493, taxonomy code is 363L00000X and license number is R22087, license state is located at North Dakota. Connie M Ebach NP physically located at 222 N 7th St, Bismarck ND, 58501-4436. NPI Number Connie M Ebach NP has the Individual type.

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1053417493 NPI number is provided on an as is basis without warranty of any kind. 1053417493 is maintained by the National Plan & Provider Enumeration System. The contents of Connie M Ebach NP are for informational purposes only.