Doctor Name: | MS. DELORES ANN ALLECKSON |
NPI Number: | 1184857021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R 137326-0 |
Business Practice Address: | 705 Pleasant Ave S Park Rapids, MN - 564701440 |
Business Phone Number: | 2187322800 |
Business Fax Number: | 2187322857 |
Mailing Address: | Po Box 6001, FARGO |
State: | ND |
Postal Code: | 581086001 |
Phone Number: | 7013648000 |
Fax Number: | 3202318968 |
NPI Enumeration Date: | 08/26/2009 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R 137326-0 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |