Individual
HOPE M MATHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206415-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073881918
—
MN
Enumeration date
12/07/2011
Last updated
03/28/2025
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