Convenient Care Clinic, PLLC
Nurse Practitioner, Family in West Fargo, ND. Organization (NPI-2).
NPI number1457017444
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1457017444
- Entity type
- Organization (NPI-2)
- Legal business name
- Convenient Care Clinic, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 13, 2021
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | – | – |
Other names
- Convenient Care Clinic (Doing Business As)
Practice location
505 32nd Ave E Ste BWest Fargo, ND 58078-8490
Phone 701-532-1731 · Fax 701-532-1940
Mailing address
505 32nd Ave E Ste BWest Fargo, ND 58078-8490
Phone 701-532-1731 · Fax 701-532-1940
Authorized official
Amber L Hewson
Partner/Administrator
7015321731
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