Julie Marie Ketterling, FNP
Nurse Practitioner, Family in Fargo, ND. Individual provider (NPI-1).
NPI number1679923940
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1679923940
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Julie Marie Ketterling
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2016
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R35151 | ND | Yes |
Other names
- Julie Marie Hageman (Former Name)
Practice location
2400 32nd Ave SFargo, ND 58103-5800
Phone 701-234-2000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-6585
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