Individual provider · Type 1 NPI
Joseph Raine
Critical Care Medicine Registered Nurse · Fargo, ND
NPI number
1104646363
Active
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
2309 2nd St N
Fargo, ND 58102-2006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | R42976 (ND) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1104646363
Joseph Raine's National Provider Identifier is 1104646363, issued on Oct 14, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Fargo, ND. The record was last updated on Oct 14, 2024.