Individual
MRS. STACIE L METELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5340
(701) 780-1942
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5340
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RNR1499555
MN
163WD0400X
Diabetes Educator Registered Nurse
Primary
RNR19204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22220347
NATIONAL
—
Enumeration date
06/06/2007
Last updated
07/08/2007
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