Individual provider · Type 1 NPI

Lydia Chardel Bruenjes, PA

Physician Assistant · Fargo, ND

NPI number 1720566847 Active

Practice location

4110 51st Ave S
Fargo, ND 58104-7776

Call (017) 364-3100 Map

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601008509 (MI)
Physician Assistant 363A00000X13972 (MN)
Physician Assistant Primary 363A00000XPAC0931 (ND)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720566847

Lydia Chardel Bruenjes, PA's National Provider Identifier is 1720566847, issued on Jul 31, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fargo, ND. The record was last updated on Mar 21, 2022.