Individual
KRISTEN MAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
765 W INTERSTATE AVE, BISMARCK, ND 58503-0936
(701) 323-5437
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R43326
ND
Other
Enumeration date
02/23/2023
Last updated
05/19/2023
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