Healthcare Provider Details

I. General information

NPI: 1275408601
Provider Name (Legal Business Name): MEGAN BREDEN BSN, RN, CNOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN EMERSON BSN, RN, CNOR

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELM ST N
FARGO ND
58102-2417
US

IV. Provider business mailing address

709 ALBERT DR W
WEST FARGO ND
58078-8525
US

V. Phone/Fax

Practice location:
  • Phone: 701-239-3700
  • Fax:
Mailing address:
  • Phone: 701-239-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR35689
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: