Individual provider · Type 1 NPI
Chantee Seung Gruenhagen, NP
Family Nurse Practitioner · Fargo, ND
NPI number
1457615155
Active
Practice location
737 North Broadway, Sanford Urology Clinic
Fargo, ND 58122
Fax (701) 234-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Urology Physician | 2088P0231X | R30750 (ND) |
| Family Nurse Practitioner Primary | 363LF0000X | R30750 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457615155
Chantee Seung Gruenhagen, NP's National Provider Identifier is 1457615155, issued on Jun 27, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fargo, ND. The record was last updated on Jan 12, 2015.