Individual
NANCY J STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 2ND STREET NW, TWIN VALLEY, MN 56584
(218) 584-5142
(218) 584-5399
Mailing address
501 2ND STREET NW, TWIN VALLEY, MN 56584
(218) 584-5142
(218) 584-5399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R104074-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117666
MEDICA
—
01
—
1014567
PREFERREDONE
—
01
—
17648
NDBC
—
05
—
19548
—
ND
01
—
87A97ST
MN BC
—
01
—
HP20535
HEALTHPARTNERS
—
Enumeration date
07/17/2006
Last updated
07/09/2007
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