IndividualActive
Kathy Detke, NP
NPI 1720034622 · Women's Health Nurse Practitioner · Grand Forks, ND
Provider details
- NPI number
- 1720034622
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- License
- R18078 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1451 44th Ave S
Grand Forks, ND 58201-3434
Phone: (701) 738-2004
Approximate (ZIP-level) locationGet directions
Mailing address
1451 44th Ave S
Grand Forks, ND 58201-3434
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.