Individual
MRS. MARY BETH SAFRANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-6600
(701) 364-6628
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R109779-5
MN
363L00000X
Nurse Practitioner
Primary
R22485
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19510
—
ND
Enumeration date
09/23/2005
Last updated
10/28/2011
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