Healthcare Provider Details

I. General information

NPI: 1447964697
Provider Name (Legal Business Name): MARIA AUNE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EAST ST N
ELGIN ND
58533-7105
US

IV. Provider business mailing address

2949 BUTLER ST
LINCOLN ND
58504-9013
US

V. Phone/Fax

Practice location:
  • Phone: 701-584-2792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR46894
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR46894
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: