Individual
KRISTIN MARIE STABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
503 PARK ST W, PARK RIVER, ND 58270-4137
(701) 284-6663
Mailing address
503 PARK ST W, PARK RIVER, ND 58270-4137
(701) 331-1438
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R32601
ND
Other
Enumeration date
07/23/2013
Last updated
10/02/2018
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