Healthcare Provider Details

I. General information

NPI: 1629174701
Provider Name (Legal Business Name): BOBBIE M BURCHINAL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BOBBIE M TRANA NP

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 HIGHWAY 2 E
RUGBY ND
58368-7801
US

IV. Provider business mailing address

2975 HIGHWAY 2 E
RUGBY ND
58368-7801
US

V. Phone/Fax

Practice location:
  • Phone: 701-776-5261
  • Fax: 17-765-5448
Mailing address:
  • Phone: 701-530-6000
  • Fax: 701-530-6488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR27634
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR27634
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: