NPI 1003242256

Wendy M Moore, NURSEPRACTITIONER

Practitioner Nurse Practitioner Fargo, ND

Practice location

Address: 901 28th St S, Fargo, ND 58103
Phone: (701) 404-1100
Fax: (701) 540-6498
Mailing address: 901 28th St S, Fargo, ND 58103-8743

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R36755 (ND)

Other Nurse Practitioner providers in North Dakota →

Registry record

NPI: 1003242256
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2013
Record last updated: 3 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.