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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GLENICE M CARLSON, PAC

Active

MRS. GLENICE M CARLSON, PAC is a Physician Assistant healthcare provider located in FARGO, North Dakota. NPI 1134222797 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FARGO, ND

Registration Details

NPI Number
1134222797
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2006 (19.901173791481 yrs)
Last Updated
Jul 8, 2007
License
PAC0129 (ND)

Practice Information

Address
510 4TH ST S
PRAIRIE ST JOHNS
FARGO, ND, 58103
Browse ND providers · Browse ZIP 58103
Phone
7014767239
Fax
7012805798
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FARGO, ND

Name Credential NPI
JAY R METZGER PA 1437153905
KARLA MAY HENNEQUIN PAC 1841274248
MR. ERIC L HARRY PAC 1861478745
MR. JAMES ALAN BERGLUND PA-C 1194784918
DAWN L DEAL-DAHLE PA-C 1518922475
BARBARA J HAMPLE PA-C 1497706725
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.