Individual
SHELLEY MARIE BARTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 1ST AVE SE, KENMARE, ND 58746-7329
(701) 385-3020
(701) 385-3033
Mailing address
PO BOX 755, KENMARE, ND 58746-0755
(701) 385-3020
(701) 385-3033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0308
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24396
NORTH DAKOTA BLUE SHIELD
ND
Enumeration date
07/16/2006
Last updated
04/26/2023
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