Eriksson, Kelli L
Eriksson, Kelli L is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Eriksson, Kelli L can be contacted via phone (701) 364-8000.Contact Information
Primary practice address
3000 32Nd Ave S
Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R141697-8 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R28536 | North Dakota |
Profile Details
| NPI number | 1043318264 |
|---|---|
| LBN Legal business name | Eriksson, Kelli L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 19th, 2012 - about 12 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 | 1043318264 | NPPES |
| North Dakota | MEDICAID | 84187 |
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