Healthcare Provider Details

I. General information

NPI: 1114755097
Provider Name (Legal Business Name): KARISSA NYCOL BARFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N 9TH ST
BISMARCK ND
58501-4515
US

IV. Provider business mailing address

310 N 9TH ST
BISMARCK ND
58501-4515
US

V. Phone/Fax

Practice location:
  • Phone: 701-946-7500
  • Fax:
Mailing address:
  • Phone: 701-946-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number200477
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200477
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: