NPI 1639981343
Myna Early Intervention LLC
Practice location
- Address
- 4575 23rd Ave S STE 400, Fargo, ND 58104-8783
- Phone
- (701) 347-1782
- Fax
- (701) 404-8274
Authorised official
- Name
- Elaine K. Doerfler
- Title
- Authorizing Official
- Phone
- (701) 347-1782
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1639981343
- Entity type
- Organization
- NPI issued
- 21 Jan 2025
- Record last updated
- 21 Jan 2025
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.