Individual
ANDREA STOCK DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2288 154TH AVE, MAHNOMEN, MN 56557-9004
(218) 849-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R-32860
ND
163W00000X
Registered Nurse
Primary
R179788-8
MN
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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