Individual
MIRANDA SCHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R36695
ND
363LW0102X
Women's Health Nurse Practitioner
R36695
ND
Other
Enumeration date
11/09/2021
Last updated
04/05/2022
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