Provider Demographics
NPI:1306994652
Name:REISER, KAREN MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:REISER
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:1300 HOSPITAL LOOP
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316
Mailing Address - Country:US
Mailing Address - Phone:701-477-6111
Mailing Address - Fax:701-477-2507
Practice Address - Street 1:1300 HOSPITAL LOOP
Practice Address - Street 2:HOSPITAL ROAD
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316
Practice Address - Country:US
Practice Address - Phone:701-477-6111
Practice Address - Fax:701-477-2507
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2016-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE50336163W00000X
NE111984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse