Provider Demographics
NPI:1003497488
Name:EAGLE, FAITH HOPE (DNP-FNP-C)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:HOPE
Last Name:EAGLE
Suffix:
Gender:F
Credentials:DNP-FNP-C
Other - Prefix:MRS
Other - First Name:FAITH
Other - Middle Name:HOPE
Other - Last Name:HORPESTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5010
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-5010
Mailing Address - Country:US
Mailing Address - Phone:701-857-5000
Mailing Address - Fax:
Practice Address - Street 1:307 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:KENMARE
Practice Address - State:ND
Practice Address - Zip Code:58746-7104
Practice Address - Country:US
Practice Address - Phone:701-385-4283
Practice Address - Fax:701-385-4282
Is Sole Proprietor?:No
Enumeration Date:2021-04-18
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR50662363L00000X, 363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program