Bakken, Joanne A

Bakken, Joanne A is an individual health care provider with primary practice located at 1102 Main , Williston ND 58801-4233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bakken, Joanne A can be contacted via phone (701) 572-7711.

Contact Information

Primary practice address
1102 Main Williston ND 58801-4233
Phone: (701) 572-7711
Fax: (701) 572-2283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R25271 North Dakota

Profile Details

NPI number 1790865673
LBN Legal business name Bakken, Joanne A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 12th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790865673 NPPES
North Dakota MEDICAID 19570

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