NPI 1477570943

Joan Leslie Nycklemoe-Connell, PAC

Practitioner Medical Physician Assistant Wahpeton, ND

Practice location

Address: 332 2nd Ave N, Wahpeton, ND 58075-4528
Phone: (701) 642-7000
Fax: (701) 642-7055

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PAC0141 (ND)

Other Physician Assistant providers in North Dakota →

Registry record

NPI: 1477570943
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2006
Record last updated: 15 Sep 2008

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.