NPI 1003371782

Kyrie Marie Severson, APRNCNP

Practitioner Family Nurse Practitioner Fargo, ND

Practice location

Address: 4622 40th Ave S Suite a, Fargo, ND 58104
Phone: (701) 364-2909
Fax: (701) 364-9822
Mailing address: 400 E 3rd St, Duluth, MN 55805-1951

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence R37913 (ND)

Other Nurse Practitioner providers in North Dakota →

Registry record

NPI: 1003371782
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2019
Record last updated: 6 Feb 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.