Individual
SAMANTHA BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3201 33RD ST S, FARGO, ND 58104-8823
(701) 365-4488
Mailing address
3201 33RD ST S, FARGO, ND 58104-8823
(701) 365-4488
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PAC1016
ND
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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