Gourneau, Kristen Renae
Gourneau, Kristen Renae is an individual health care provider with primary practice located at 3883 74Th Avenue , Fort Totten ND 58335-5833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gourneau, Kristen Renae can be contacted via phone (701) 766-1600.Contact Information
Primary practice address
3883 74Th Avenue
Fort Totten ND 58335-5833
Phone: (701) 766-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R37632 | North Dakota |
Profile Details
| NPI number | 1285293472 |
|---|---|
| LBN Legal business name | Gourneau, Kristen Renae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jun 11th, 2019 - 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 | 1285293472 | NPPES |
| North Dakota | Other | R37632 | NORTH DAKOTA BOARD OF NURSING |
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