Organization · Type 2 NPI
Legacy Primary Care PLLC
Adult Medicine Physician · Grand Forks, ND
NPI number
1265277115
Active
Practice location
2100 S Columbia Rd Ste 114
Grand Forks, ND 58201-5895
Fax (877) 651-1381
Mailing address
19580 Scout Ln
St. Onge, SD 57779-7913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
9 other providers at this address
- Back In Motion Chiropractic & Acupuncture Clinic, PLLCChiropractor Grand Forks, ND NPI 1154692168
- Christina Rose Walker, APRN/CNPFamily Nurse Practitioner Grand Forks, ND NPI 1215431853
- Ivy Belle Brosseau, APRN, FNP-BCFamily Nurse Practitioner Grand Forks, ND NPI 1275443921
- Lindsay MaurerRegistered Nurse Grand Forks, ND NPI 1821809906
- McKenzie Ann Disrud, FNPFamily Nurse Practitioner Grand Forks, ND NPI 1265093124
- Paige MushitzPrimary Care Nurse Practitioner Grand Forks, ND NPI 1215835145
- Rebecca Rae Kreis, NPNurse Practitioner Grand Forks, ND NPI 1164775441
- Russell James Niffenegger, NPFamily Nurse Practitioner Grand Forks, ND NPI 1659154706
- Traci SpechtFamily Nurse Practitioner Grand Forks, ND NPI 1144908625
About NPI 1265277115
Legacy Primary Care PLLC's National Provider Identifier is 1265277115, issued on Jul 1, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Grand Forks, ND. The record was last updated on Jul 1, 2024.