Provider Demographics
NPI:1124739263
Name:QUAM, JOAN (APRN NP)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:QUAM
Suffix:
Gender:F
Credentials:APRN NP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2401 41ST ST S STE 101
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7783
Mailing Address - Country:US
Mailing Address - Phone:701-551-6980
Mailing Address - Fax:701-551-6984
Practice Address - Street 1:1112 NODAK DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-2333
Practice Address - Country:US
Practice Address - Phone:701-232-6224
Practice Address - Fax:701-232-4687
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2024-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NDR44324363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health