Healthcare Provider Details

I. General information

NPI: 1124925706
Provider Name (Legal Business Name): DAKOTA HEALTHCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2026
Last Update Date: 10/26/2026
Certification Date: 10/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 PAGE DR S
FARGO ND
58103-3500
US

IV. Provider business mailing address

1330 PAGE DR S
FARGO ND
58103-3500
US

V. Phone/Fax

Practice location:
  • Phone: 701-991-1783
  • Fax:
Mailing address:
  • Phone: 701-991-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANEEL URSANI
Title or Position: PRESIDENT
Credential: MD
Phone: 701-991-1783