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Individual

SAMANTHA BARTELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198792-8
MN
163W00000X
Registered Nurse
R35215
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12192
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201280
ND

Other

Enumeration date
09/16/2024
Last updated
12/13/2024
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