Individual
ELIZABETH MEHUS-WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
R32597
ND
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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