Individual
HEATHER MARIE HAARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1701 38TH ST S STE 101, FARGO, ND 58103-4499
(800) 237-4629
Mailing address
2687 56TH AVE S, FARGO, ND 58104-6409
(701) 640-8511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
825332
MN
164W00000X
Licensed Practical Nurse
Primary
L18143
ND
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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