| Doctor Name: | ANDREA MARIE BEISEKER |
| NPI Number: | 1023390663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | R36897 |
| Business Practice Address: | 801 Broadway N Fargo, ND - 581023641 |
| Business Phone Number: | 7012342525 |
| Business Fax Number: | 7012342910 |
| Mailing Address: | Po Box 2168, FARGO |
| State: | ND |
| Postal Code: | 581072168 |
| Phone Number: | 7012342119 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 05/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R36897 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |