Individual provider · NPI-1
Dr. Abigail Carmen Brunsvold, DNP,APRN, CPNP-AC/PC
Nurse Practitioner, Pediatrics · Fargo, ND
NPI number1831647940
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1831647940
- Entity type
- Individual (NPI-1)
- Name
- Dr. Abigail Carmen Brunsvold
- Credential
- DNP,APRN, CPNP-AC/PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2016
- Certification date
- Jul 8, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R36417 | ND | Yes |
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | CNP 4785 | MN |
Other names
- Abigail Carmen Burkett Vetter (Former Name)
Practice location
2701 13th Ave SFargo, ND 58103-3602
Phone 701-234-3620
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
2525 Chicago Ave
Minneapolis, MN 55404-4518
Minneapolis, MN 55404-4518
Phone 612-813-7192
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