Individual
MRS. BETHANY LYNN HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1801 45TH ST S, FARGO, ND 58103-0801
(612) 799-9195
Mailing address
716 192ND ST S, HAWLEY, MN 56549-9062
(612) 799-9195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2405289
MN
163W00000X
Registered Nurse
R048210
SD
163W00000X
Registered Nurse
Primary
R31814
ND
163WL0100X
Lactation Consultant (Registered Nurse)
L-136471
MN
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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