Healthcare Provider Details

I. General information

NPI: 1902531502
Provider Name (Legal Business Name): DAPHNE D KURTZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAPHNE D REYLES NP

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 14TH AVE NE
DEVILS LAKE ND
58301-2808
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 701-544-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR32424
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR32424
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: