Individual
THERESA LYNN STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R22022
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307041700
—
FL
Enumeration date
03/09/2007
Last updated
12/23/2015
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