Individual
MARJORIE MASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1401 13TH AVE E, WEST FARGO, ND 58078-3468
(701) 364-5751
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29212
ND
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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