Joan Leslie Nycklemoe-Connell, PA-C
Physician Assistant, Medical in Wahpeton, ND. Individual provider (NPI-1).
NPI number1477570943
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1477570943
- Entity type
- Individual (NPI-1)
- Name
- Joan Leslie Nycklemoe-Connell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PAC0141 | ND | Yes |
Practice location
332 2nd Ave NWahpeton, ND 58075-4528
Phone 701-642-7000 · Fax 701-642-7055
Mailing address
332 2nd Ave NWahpeton, ND 58075-4528
Phone 701-642-7000 · Fax 701-642-7055
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