Healthcare Provider Details

I. General information

NPI: 1558383653
Provider Name (Legal Business Name): DANIELLE DON SKAAR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE DON ERICKSTAD NP

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 HIGHWAY 2 W STE 10
DEVILS LAKE ND
58301-2913
US

IV. Provider business mailing address

210 HIGHWAY 2 W STE 10
DEVILS LAKE ND
58301-2913
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-1046
  • Fax: 866-528-9548
Mailing address:
  • Phone: 701-662-1046
  • Fax: 866-528-9548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR28826
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR28826
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: