Individual
MARTHA MOFYASANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
FARGO VA, 2101 ELM STREET N, FARGO, ND 58102
(701) 239-3700
(701) 237-2623
Mailing address
3728 13TH ST S, MOORHEAD, MN 56560-7442
(651) 815-2408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R39541
ND
Other
Enumeration date
11/27/2020
Last updated
12/30/2025
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