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Individual

SHAWNA L DOBRZELECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
811 E INTERSTATE AVE, BISMARCK, ND 58503-1100
(701) 221-0900
Mailing address
1879 S GRANDVIEW LN, BISMARCK, ND 58503-0848
(937) 269-1798

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
298435
OH
363LF0000X
Family Nurse Practitioner
Primary
R33229
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000032022
BCBS
OH
Enumeration date
09/26/2007
Last updated
03/29/2011
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