Individual provider · Type 1 NPI

Mikaila Dawn Livingood, NP

Nurse Practitioner · Fargo, ND

NPI number 1467274662 Active

Practice location

5225 23rd Ave. S
Fargo, ND 58104

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X201281 (ND)
Acute Care Nurse Practitioner 363LA2100XTEMP201281 (ND)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467274662

Mikaila Dawn Livingood, NP's National Provider Identifier is 1467274662, issued on Oct 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fargo, ND. The record was last updated on Jan 17, 2025.