Individual
LIZA A YSTAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1600
Mailing address
421 14TH ST N, NEW ROCKFORD, ND 58356-1103
(701) 341-0740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R34544
ND
Other
Enumeration date
07/07/2020
Last updated
07/27/2020
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