ELLEN NYSTROM

FARGO, ND
NPI1831819713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R40695)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ND  R40695)
Enumeration Date2022-08-31
Last Update Date2022-11-14
Business Address
ELLEN NYSTROM
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
Mailing Address
ELLEN NYSTROM
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: