Individual
STEPHANIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2401 46TH AVE SE STE 201, MANDAN, ND 58554-4829
(701) 699-4052
(701) 989-7030
Mailing address
2401 46TH AVE SE STE 201, MANDAN, ND 58554-4829
(701) 699-4052
(701) 989-7030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R36302
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R36302
ND
Other
Enumeration date
10/22/2015
Last updated
09/12/2022
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