Individual
STACIE BONDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Mailing address
1301 15 AVE W, WILLISTON, ND 58801
(701) 774-7400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R36049
ND
Other
Enumeration date
07/28/2015
Last updated
08/04/2017
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