Individual
SHANDA HARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-7651
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-7651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022030242
ND
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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