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Individual

PENNI MARIE WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-6600
(701) 364-6628
Mailing address
1702 UNIVERSITY DRIVE SOUTH, ATTN: SSC, FARGO, ND 58103-4940
(701) 364-3300

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R20495
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84087
ND
Enumeration date
07/12/2011
Last updated
12/20/2017
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