Individual
ASHELLEE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5973 63RD AVE S, FARGO, ND 58104-5748
(612) 889-7319
Mailing address
5973 63RD AVE S, FARGO, ND 58104-5748
(612) 889-7319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R35965
ND
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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