| NPI | 1316668544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LEE HENDRICKS Nurse Practitioner/President 701-652-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2026-04-17 |