| NPI | 1699431023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DAWN SPAETH Pmhnp Bc 701-306-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |