Individual
MARY M. NYBAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
(701) 417-2535
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RL10954
ND
207V00000X
Obstetrics & Gynecology Physician
Primary
11358
ND
207V00000X
Obstetrics & Gynecology Physician
7357
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
08/12/2008
Last updated
03/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us