Organization
SKIN REHAB PLLC
Active
Other names
Skin Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LYNN SUDA FNP (OWNER)
(701) 379-0140
Entity
Organization
Contact information
Practice address
15 E 7TH ST, GRAFTON, ND 58237-2313
(701) 379-0140
(701) 895-5508
Mailing address
15 E 7TH ST, GRAFTON, ND 58237-2313
(701) 379-0140
(701) 895-5508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/13/2023
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