Balm of Gilead Healthcare Clinic LLC
NPI #1154022895 in East Grand Forks, Minnesota
Provider Information
- NPI Number
- 1154022895
- Entity Type
- Organization
- Organization Name
- Balm of Gilead Healthcare Clinic LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 10, 2023
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 210 GATEWAY DR NE STE 1
- City
- East Grand Forks
- State
- Minnesota
- ZIP Code
- 56721-1621
- Phone
- (218) 207-2020
Authorized Official
- Name
- MERIT FONGWI LADUNA FONDONG
- Title
- NP
- Phone
- (218) 779-9437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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