Individual
LEE ANN JUNE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 204-1709
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R31662
ND
363LG0600X
Gerontology Nurse Practitioner
Primary
R31662
ND
Other
Enumeration date
12/15/2020
Last updated
03/31/2021
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