Falcon, Misty K

Falcon, Misty K is an individual health care provider with primary practice located at 3 4Th St E , Williston ND 58801-5350. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Falcon, Misty K can be contacted via phone (701) 577-9255.

Contact Information

Primary practice address
3 4Th St E Williston ND 58801-5350
Phone: (701) 577-9255
Fax: (701) 577-2881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 171311 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R26168 North Dakota

Profile Details

NPI number 1417983164
LBN Legal business name Falcon, Misty K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Dec 1st, 2010 - about 14 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 1417983164 NPPES
Colorado MEDICAID 71038710

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