# NURTURING WELLNESS PEDIATRICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619503760
- **Authorized official:** DR. KATHY MELISSA ANDERSON MD (PEDIATRICIAN)
- **Authorized official phone:** (401) 952-0293

## Contact information

- **Practice address:** 1500 INTERCHANGE AVE STE 200, BISMARCK, ND 58501-2084
- **Practice address phone:** (401) 952-0293
- **Mailing address:** 5119 FOUNTAINBLUE DR, BISMARCK, ND 58503-8893
- **Mailing address phone:** (401) 952-0293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2020
- **Last updated:** 05/05/2020