Individual
ANGELA MATHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 2ND AVE W, WILLISTON, ND 58801-5218
(701) 774-4600
Mailing address
PO BOX 1266, WILLISTON, ND 58802-1266
(701) 774-4600
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R45157
ND
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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