Individual
MS. MIRANDA DAWN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Mailing address
2331 TYLER PKWY, SUITE 4, BISMARCK, ND 58503-0871
(701) 255-4000
(701) 255-1992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29452
ND
Other
Enumeration date
08/02/2010
Last updated
10/24/2012
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