Individual
MELANIE A NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R29465
ND
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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