Individual
AMY J HESTBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP5060
MN
363L00000X
Nurse Practitioner
R27674
ND
363LG0600X
Gerontology Nurse Practitioner
Primary
R27674
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306137195
—
MN
05
—
84097
—
ND
Enumeration date
04/27/2011
Last updated
12/04/2024
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