Basic Information
| Provider Information | |||||||||
| NPI: | 1609371426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ENGLUND | ||||||||
| FirstName: | DARCIE | ||||||||
| MiddleName: | RAE | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 30TH AVE S APT 109 | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581047816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7017393539 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2501 W 22ND ST | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571051305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053363230 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2018 | ||||||||
| LastUpdateDate: | 03/25/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WE0003X | RN35196 | ND | N | Nursing Service Providers | Registered Nurse | Emergency | 163WX0200X | RN35196 | ND | N | Nursing Service Providers | Registered Nurse | Oncology | 163WM0705X | RN35196 | ND | Y | Nursing Service Providers | Registered Nurse | Medical-Surgical |
No ID Information.