NPI 1154153674

Shayna Grace Tonderum

Practitioner Specialist Williston, ND

Practice location

Address: 316 2nd Ave W, Williston, ND 58801-5218
Phone: (701) 774-4600

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in North Dakota →

Registry record

NPI: 1154153674
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2024
Record last updated: 14 Aug 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.