Individual
STACIE L MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 N 11TH ST STE 1, BISMARCK, ND 58503-1210
(701) 751-2272
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4556
(701) 712-4191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0285
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00181243
MEDICARE RAILROAD
ND
Enumeration date
05/28/2006
Last updated
07/01/2025
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