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Individual

SHELBY VATTHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4440 S WASHINGTON ST, GRAND FORKS, ND 58201-7245
(701) 732-7700
Mailing address
PO BOX 860939, MINNEAPOLIS, MN 55486-0939

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
205313
ND
363LF0000X
Family Nurse Practitioner
Primary
205313
ND
363LF0000X
Family Nurse Practitioner
Primary
TEMP205313
ND

Other

Enumeration date
06/16/2026
Last updated
07/21/2026
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