IndividualActive
Alanah Etheridge
NPI 1083202774 · Specialist · Moorhead, MN
Provider details
- NPI number
- 1083202774
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
891 Belsly Blvd
Moorhead, MN 56560-5055
Phone: (218) 287-4338
Approximate (ZIP-level) locationGet directions
Mailing address
891 Belsly Blvd
Moorhead, MN 56560-5055
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.