Healthcare Provider Details

I. General information

NPI: 1558591131
Provider Name (Legal Business Name): BRIAN TORSKE FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 04/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2331 TYLER PKWY STE 6
BISMARCK ND
58503-0871
US

IV. Provider business mailing address

310 N 10TH ST
BISMARCK ND
58501-4516
US

V. Phone/Fax

Practice location:
  • Phone: 701-258-6851
  • Fax: 701-751-0219
Mailing address:
  • Phone: 701-530-7500
  • Fax: 701-530-7484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR28747
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: