Whalio Doctors

NPI 1003643487

Mary Omer Habib, APRNCNP

Practitioner Family Nurse Practitioner Fargo, ND

Practice location

Address
4622 40th Ave S STE a, Fargo, ND 58104-4394
Phone
(218) 364-8900
Mailing address
400 E 3rd St Ssb-6, Duluth, MN 55805-1951

Registered specialties (2)

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 201018 (ND)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2529836 (MN)

Registry record

NPI
1003643487
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Sep 2024
Record last updated
18 Sep 2024

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.