Hestdalen, Mallory

Hestdalen, Mallory is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Hestdalen, Mallory can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R33463 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X R33463 North Dakota

Profile Details

NPI number 1851752885
LBN Legal business name Hestdalen, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated Sep 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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