Nurse Practitioner, Psych/Mental Health
BALM OF GILEAD HEALTHCARE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1730889882 · enumerated 2023-03-07 · record updated 2023-03-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MULUH FONGWI FONDONG, Partner · (218) 779-9437
Addresses and phones
- Mailing address 2448 42ND AVE S, GRAND FORKS, ND, 58201-3483 (218) 779-9437 Google Maps Apple Maps OpenStreetMap
- Practice location 1618 CENTRAL AVE NE, EAST GRAND FORKS, MN, 56721-1335 (218) 779-9437 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X
- Nurse Practitioner, Primary Care 363LP2300X
- Nurse Practitioner, Psych/Mental Health 363LP0808X · Primary
In this directory
MN Polk County East Grand Forks Nurse Practitioner, Psych/Mental Health
Locations and evidence
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Practice location
EAST GRAND FORKS, MN, 567211335
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.