Individual
MS. KELLI LYNN PFAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
4476 31ST AVE S STE 101, FARGO, ND 58104-4532
(701) 234-9400
Mailing address
1702 UNIVERSITY DR S # SSC, FARGO, ND 58103-4940
(701) 364-8508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0613003
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0613003
ND CERTIFICATION
ND
Enumeration date
07/03/2013
Last updated
02/16/2024
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