NPI 1023035029 · live from the CMS NPI Registry
Marie L Brekken, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1023035029, active.
NPI record
| NPI | 1023035029 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1720 University Dr S, Fargo, ND 58103 |
| Practice phone | 701-280-4375 |
| Enumerated | July 16, 2006 |
| Last updated | September 27, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | PAC0143 (ND) |
| Physician Assistant primary | 363A00000X | PAC0143 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.