Individual
MADELAINNA MCKENNAH BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2100
Mailing address
5225 23RD AVE S, FARGO, ND 58104-7927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202838
ND
163W00000X
Registered Nurse
46222
WY
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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