Healthcare Provider Details

I. General information

NPI: 1033317854
Provider Name (Legal Business Name): NORA L ALLAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORA L BEEHLER

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N 7TH ST
BISMARCK ND
58501-4423
US

IV. Provider business mailing address

PO BOX 5501
BISMARCK ND
58506-5501
US

V. Phone/Fax

Practice location:
  • Phone: 701-323-6882
  • Fax: 701-323-6516
Mailing address:
  • Phone: 701-323-6000
  • Fax: 701-323-5709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR26928
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: