Individual
COURTNEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1015 4TH AVE S, WISHEK, ND 58495-0647
(701) 452-2364
(701) 452-4276
Mailing address
BOX 647, WISHEK, ND 58495-0647
(701) 452-3207
(701) 452-2179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36517
ND
Other
Enumeration date
08/28/2016
Last updated
07/21/2022
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