Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R50662 | ND |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R50662 | ND |
NPI | 1003497488 |
---|---|
Provider Name | Prof. Faith Hope Horpestad |
First Address | Minot, ND 58702-5010 |
Second Address | Kenmare, ND 58746-7104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2021 |
Last Update Date | 22/06/2021 |