Individual
MRS. KRISTY M WEIGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35928
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N725630
MEDICARE
ND
Enumeration date
12/24/2017
Last updated
05/20/2020
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