NPI 1629541172
Evolve Dermatology
Practice location
- Address
- 401 N 9th St, Bismarck, ND 58501-4530
- Phone
- (701) 712-4899
- Fax
- (701) 712-4225
- Mailing address
- 1646 28th Ave. S. #10, Grand Forks, ND 58201
Authorised official
- Name
- Jennifer Tinkler
- Title
- Owner
- Phone
- (701) 740-0052
Registered specialties (2)
Dermatology Physician
Primary
Nurse Practitioner
Registry record
- NPI
- 1629541172
- Entity type
- Organization
- NPI issued
- 8 Jan 2019
- Record last updated
- 19 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.