Organization
INNOVATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE SANFORD FNP (NURSE PRACTITIONER)
(701) 444-2888
Entity
Organization
Contact information
Practice address
340 N MAIN ST STE 311, WATFORD CITY, ND 58854-7308
(701) 444-2888
(701) 444-2813
Mailing address
PO BOX 1256, WATFORD CITY, ND 58854-1256
(701) 444-2888
(701) 444-2813
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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