Most Relevant Information
Provider Data
| NPI Number: | 1003468893 |
| Provider Name: | PATRICIA LONGIE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R40725 |
Most Important Dates
| Enumeration Date: | 07/11/2019 |
| Last Updated: | 07/11/2019 |
Provider Practice Location
1200 COLLINS AVE
MANDAN
ND
585542066
Practice Location Phone/Fax
| Phone: | 7016635373 |
| Fax: |
Provider Mailing Location
1200 COLLINS AVE
MANDAN
ND
585542066
Provider Mailing Phone/Fax
| Phone: | 7016635373 |
| Fax: |