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Contact Information

SAMANTHA BEAUDRY
1240 25TH ST S
FARGO, ND58103-2367
 Phone: 701-241-1360
 Fax: 701-298-6929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA BEAUDRY · (Female)

NPI Number 1598428302
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2021
Last updated 10/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ND License # R43501
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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