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Contact Information

STEFFANY K MOEN
801 BROADWAY N
FARGO, ND58102-3641
 Phone: 701-234-5997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STEFFANY K MOEN · (Female)

NPI # 1659696896
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2010
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01072472
  • ND License # 11754
  • IN Medicaid 201171690
  • ND Medicaid 1470166
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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