Individual
MS. NICOLE LYNN AMSBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7876
AZ
363A00000X
Physician Assistant
Primary
PAC0369
ND
Other
Enumeration date
06/28/2007
Last updated
02/28/2025
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