Individual
MAREN LYNN MANGARDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 S COLUMBIA RD, GRAND FORKS, ND 58201-4028
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R42081
ND
Other
Enumeration date
07/02/2020
Last updated
11/30/2023
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