Individual
MARY L SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
301 NP AVE N, FARGO, ND 58102-4835
(701) 271-3344
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
R25777
ND
363LF0000X
Family Nurse Practitioner
Primary
R25777
ND
Other
Enumeration date
05/21/2007
Last updated
12/04/2013
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