Individual
STEFANY NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 HIGHWAY 79 E, ELBOW LAKE, MN 56531-4645
(218) 685-7300
(218) 685-7296
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 685-7296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2311
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2311
MN BOARD OF MEDICAL PRACTICE
MN
Enumeration date
08/07/2015
Last updated
02/17/2017
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