Individual
SHAENA KUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
ALTRU PROFESSIONAL CENTER, 4440 S. WASHINGTON ST., GRAND FORKS, ND 58201
(218) 368-0728
Mailing address
PO BOX 13780, GRAND FORKS, ND 58208
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200347
ND
Other
Enumeration date
07/30/2024
Last updated
06/16/2025
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