Individual
SUSAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3767
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R27915
ND
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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