Individual
CHRISTINA MARIE WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R36497
ND
363LF0000X
Family Nurse Practitioner
R36497
ND
Other
Enumeration date
07/15/2022
Last updated
02/06/2023
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