Individual provider · Type 1 NPI
Beverly Jeanne Greenwald, FNP-BC NP-C
Family Nurse Practitioner · Fargo, ND
NPI number
1740417302
Active
Practice location
117 22 St S
Fargo, ND 58103
Mailing address
1610 5th Ave S
Fargo, ND 58103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R 158784-9 (MN) |
| Family Nurse Practitioner Primary | 363LF0000X | R22718 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1740417302
Beverly Jeanne Greenwald, FNP-BC NP-C's National Provider Identifier is 1740417302, issued on Jun 22, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fargo, ND. The record was last updated on Jun 16, 2014.