Individual provider · NPI-1

Debra Andvik, PAC

Physician Assistant, Medical · Fargo, ND

NPI number1821172404
StatusActive
Last updated in NPPESMar 4, 2009

Details

NPI
1821172404
Entity type
Individual (NPI-1)
Name
Mrs. Debra Andvik
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2006
Last updated
Mar 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPAC0194NDYes

Practice location

3280 20th St S
Fargo, ND 58104-5917

Phone 701-499-4800 · Fax 701-451-9452

Mailing address

3280 20th St S
Fargo, ND 58104-5917

Phone 701-499-4800 · Fax 701-451-9452

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