Individual
MS. HEIDI LYNN GRONDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1321 W DAKOTA PKWY, WILLISTON, ND 58801-3807
(701) 572-7711
(701) 572-2283
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5118
(701) 857-3430
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R-198574-2
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
R31608
ND
Other
Enumeration date
07/29/2010
Last updated
03/25/2022
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