Individual
MOLLY CHRISTINE MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 13TH AVENUE EAST, WEST FARGO, ND 58078-3468
(701) 364-5722
Mailing address
523 NORTH 3RD STREET, BRAINERD, MN 56401-3054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R39185
ND
Other
Enumeration date
09/07/2018
Last updated
06/21/2021
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