Individual
MICHELLE MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
531 W VILLARD ST STE 1, DICKINSON, ND 58601-5044
(701) 660-0626
Mailing address
3911 20TH AVE S, FARGO, ND 58103-4705
(701) 660-0626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R41039
ND
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460508
—
ND
Enumeration date
12/08/2020
Last updated
12/11/2020
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