Provider Demographics
NPI:1962228759
Name:ENLIFT HEALTH MEDICAL CLINIC PLLC
Entity type:Organization
Organization Name:ENLIFT HEALTH MEDICAL CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNR/CNP
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:701-799-2768
Mailing Address - Street 1:4627 44TH AVE S STE 102
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-4473
Mailing Address - Country:US
Mailing Address - Phone:701-532-3777
Mailing Address - Fax:
Practice Address - Street 1:4627 44TH AVE S STE 102
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-4473
Practice Address - Country:US
Practice Address - Phone:701-532-3777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty