Individual
MARIAH FEVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103
(701) 364-3300
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R34795
ND
Other
Enumeration date
09/29/2016
Last updated
05/30/2018
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