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Contact Information

WENDY M MOORE, NURSE PRACTITIONER
901 28TH ST S
FARGO, ND58103
 Phone: 701-404-1100
 Fax: 701-540-6498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WENDY M MOORE · (Female)

NPI # 1003242256
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 09/19/2013
Last updated 07/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ND License # R36755
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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