SHELLY MARIE MAHOWALD

BEMIDJI, MN
NPI1336775717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  7109)
Enumeration Date2020-03-18
Last Update Date2020-07-06
Business Address
SHELLY MARIE MAHOWALD FNP-C
1611 ANNE ST NW
BEMIDJI, MN 56601-5114
Phone number: 218-333-5000
Mailing Address
SHELLY MARIE MAHOWALD FNP-C
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 218-333-5000