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STEPHANIE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5997
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R26892
ND
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP9637
AZ

Other

Enumeration date
07/10/2015
Last updated
06/16/2023
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