Kristen E Knudson, BSN, RN

Individual provider Active NPI Registered Nurse · Fargo, ND

NPI 1174375489 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1174375489
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R41688 (ND)
Practice address
2101 Elm St N
Fargo, ND 58102-2417
Phone
(701) 232-3241
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R41688NDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R41688 ND Yes

Addresses

Primary practice location

2101 Elm St N
Fargo, ND 58102-2417

Mailing address

3718 12TH St W
West Fargo, ND 58078-7601
Phone (701) 641-8026

Other providers in Fargo, ND

All providers in Fargo, ND · Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.