Individual
MICHELLE STACHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSN,RN,PHN
Contact information
Practice address
3601 12TH AVE S, MOORHEAD, MN 56560-8100
(218) 284-8311
(218) 284-6533
Mailing address
3601 12TH AVE S, MOORHEAD, MN 56560-8100
(218) 284-8311
(218) 284-6533
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
23078995
MN
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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