Individual
AMANDA CATHERINE FOSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
565 S 7TH ST, BISMARCK, ND 58504-5859
(701) 323-5550
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202915
ND
363LF0000X
Family Nurse Practitioner
TEMP202915
ND
Other
Enumeration date
06/26/2025
Last updated
10/13/2025
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