| |
1033 Basin Ave, Bismarck, ND 58504-6649 | |
(701) 223-6613 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 1033 Basin Ave, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881668283 | NPI | - | NPPES |
Provider Name | Amanda E Allmaras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184063000 PECOS PAC ID: 3678714342 Enrollment ID: I20130723000008 |
Provider Name | Kayla V Holzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649901869 PECOS PAC ID: 8820470602 Enrollment ID: I20220727001754 |
Mailing Address | Practice Location Address |
---|---|
1033 Basin Ave, Bismarck, ND 58504-6649 Ph: (701) 223-6613 | 1033 Basin Ave, Bismarck, ND 58504-6649 Ph: (701) 223-6613 |