Formo, Teresa D

Formo, Teresa D is an individual health care provider with primary practice located at 520 Chautauqua Blvd , Valley City ND 58072-3145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Formo, Teresa D can be contacted via phone (701) 845-6000.

Contact Information

Primary practice address
520 Chautauqua Blvd Valley City ND 58072-3145
Phone: (701) 845-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R23725 North Dakota

Profile Details

NPI number 1225648736
LBN Legal business name Formo, Teresa D
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2020
Last updated May 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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