NORTH STAR FAMILY CLINIC PLLC NPI 1821769159

NPI Information

NORTH STAR FAMILY CLINIC PLLC is a family nurse practitioner in Williston, ND. NORTH STAR FAMILY CLINIC PLLC NPI is 1821769159. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Star Family Clinic.

The provider's business location address is:

1500 14TH ST W STE 230
WILLISTON, ND
ZIP 58801-078
Phone: (701) 774-0390
Fax: (701) 774-0391

The provider's authorized official is Brandy Shahin .
The authorized official title is Owner and has the following contact phone number (701) 774-0390.

The CLIA number assigned to this NPI record is 35D2239008 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2021 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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