Healthcare Provider Details
I. General information
NPI: 1134390941
Provider Name (Legal Business Name): LUANN J STROMME DNP,FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/19/2008
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 HIGHWAY 2 W
DEVILS LAKE ND
58301-3532
US
IV. Provider business mailing address
200 HIGHWAY 2 W
DEVILS LAKE ND
58301-3532
US
V. Phone/Fax
- Phone: 701-665-2200
- Fax: 701-665-2300
- Phone: 701-665-2200
- Fax: 701-665-2300
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R21482 |
| License Number State | ND |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: