Individual
MARY BETH KROGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
621 DEMERS AVE, EAST GRAND FORKS, MN 56721-1812
(218) 773-5857
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1278
MN
363L00000X
Nurse Practitioner
R30408
ND
Other
Enumeration date
07/22/2009
Last updated
08/12/2025
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