IndividualActive
Joseph Raine
NPI 1104646363 · Critical Care Medicine Registered Nurse · Fargo, ND
Provider details
- NPI number
- 1104646363
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R42976 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 232-3241
Approximate (ZIP-level) locationGet directions
Mailing address
2309 2nd St N
Fargo, ND 58102-2006
Registry dates
- Enumerated
- 2024-10-14
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.