Individual
KATELYN MARIE SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4631
Mailing address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4631
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R46419
ND
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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