Healthcare Provider Details

I. General information

NPI: 1063370096
Provider Name (Legal Business Name): DARLA MORSTAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 6TH AVE NE
DEVILS LAKE ND
58301-3002
US

IV. Provider business mailing address

124 6TH AVE NE
DEVILS LAKE ND
58301-3002
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-8143
  • Fax:
Mailing address:
  • Phone: 701-662-8143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateND
# 3
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: