Healthcare Provider Details

I. General information

NPI: 1932140050
Provider Name (Legal Business Name): ROBERT VOLK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 HIGHWAY 49 N
BEULAH ND
58523-6038
US

IV. Provider business mailing address

1312 HIGHWAY 49 N
BEULAH ND
58523-6038
US

V. Phone/Fax

Practice location:
  • Phone: 701-873-4445
  • Fax: 701-639-4709
Mailing address:
  • Phone: 701-873-4445
  • Fax: 701-639-4709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR29544
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: