Whalio Doctors

NPI 1023035029

Marie L Brekken, PAC

Practitioner Physician Assistant Fargo, ND

Practice location

Address
1720 University Dr S, Fargo, ND 58103-4940
Phone
(701) 280-4375
Fax
(701) 461-5764

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0143 (ND)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PAC0143 (ND)

Registry record

NPI
1023035029
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jul 2006
Record last updated
27 Sep 2018

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.