Provider Demographics
NPI:1942389432
Name:SOLHJEM, JOANNA (FNP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:SOLHJEM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 CENTENNIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-6050
Mailing Address - Country:US
Mailing Address - Phone:701-231-7331
Mailing Address - Fax:701-231-6132
Practice Address - Street 1:1707 CENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-6050
Practice Address - Country:US
Practice Address - Phone:701-231-7331
Practice Address - Fax:701-231-6132
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR15807363L00000X
NDR26313363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND19729Medicaid
MN063480800Medicaid
ND19729Medicaid
MN500002392Medicare PIN
ND22456Medicare PIN