Individual
NINA C SJOQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 4TH ST N, PO BOX MC, FARGO, ND 58102-4539
(701) 234-6161
(701) 234-3861
Mailing address
820 4TH STREET N, FARGO, ND 58122-0001
(701) 234-6161
(701) 234-3861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R19519
ND
363LF0000X
Family Nurse Practitioner
R 173463-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129243
MEDICA
—
05
—
079523200
—
MN
05
—
19507
—
ND
05
—
19567
—
ND
05
—
786452000
—
MN
01
—
PREFERREDONE
1001302
—
Enumeration date
07/22/2006
Last updated
04/18/2022
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