Healthcare Provider Details

I. General information

NPI: 1356155410
Provider Name (Legal Business Name): MONICA DENISE RIVERS-DAWKINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 8TH ST S # 515
FARGO ND
58103-1804
US

IV. Provider business mailing address

300 COLLINS AVE UNIT 414
MANDAN ND
58554-6820
US

V. Phone/Fax

Practice location:
  • Phone: 701-969-9070
  • Fax: 862-298-0750
Mailing address:
  • Phone: 701-969-9070
  • Fax: 862-298-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13365
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number225879
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1-182635
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number268638
License Number StateMT
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201923
License Number StateND
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA186535
License Number StateIA
# 7
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.AP.70051505
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: