Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R38681 | ND |
N | 363LP2300X | Nurse Practitioner - Primary Care | R38681 | ND |
NPI | 1083135479 |
---|---|
Provider Name | Lindsay Weisgerber |
First Address | Fargo, ND 58102-3641 |
Second Address | Fargo, ND 58102-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2017 |
Last Update Date | 29/03/2018 |