MR. DALE KEN FITZKE RN
NPI 1225158488
Registered Nurse - Ambulatory Care in Fort Totten, ND
Active since March 30, 2007
About Mr. Dale Ken Fitzke Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DALE KEN FITZKE RN (NPI 1225158488) is an individual ambulatory care provider in Fort Totten, North Dakota, licensed in North Dakota (R29497) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1225158488
Entity TypeIndividualMale
Primary Taxonomy163WP2201X
Provider Legal NameMR. DALE KEN FITZKECredential: RN
Location Address3883 74TH AVE NEFort Totten, ND 58335
Mailing Address132 14th Ave NeDevils Lake, ND 58301-3301 · (701) 662-4566 · Fax (701) 766-1626
Phone(701) 766-1600
Fax(701) 766-1626
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225158488 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in ND · R29497
3883 74TH AVE NE, Fort Totten, ND 58335
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Radiology, Mammography)
3883 74TH AVE NE
FORT TOTTEN, ND 58335
FORT TOTTEN, ND 58335
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225158488, enumerated as an "individual" on March 30, 2007.
The provider is located at 3883 74TH AVE NE FORT TOTTEN, ND 58335 and the phone number is (701) 766-1600.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
