Desjardins, Desiree A
Desjardins, Desiree A is an individual health care provider with primary practice located at 3108 S Broadway Ste H , Minot ND 58701-3127. 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. Desjardins, Desiree A can be contacted via phone (701) 852-8502.Contact Information
Primary practice address
3108 S Broadway Ste H
Minot ND 58701-3127
Phone: (701) 852-8502
Fax: (701) 425-0402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R27966 | North Dakota |
Profile Details
| NPI number | 1356661474 |
|---|---|
| LBN Legal business name | Desjardins, Desiree A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2010 |
| Last updated | Oct 29th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356661474 | NPPES |
| North Dakota | MEDICAID | 1475416 |
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