MALLORY HESTDALEN NPI 1851752885

NPI Information

NPI: 1851752885
Provider Name: MALLORY HESTDALEN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-2000
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Mallory Hestdalen is a neonatal nurse practitioner in Fargo, ND. Mallory Hestdalen NPI is 1851752885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
Phone: (701) 234-2000

The NPI 1851752885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2016 and was last updated on 9/29/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R33463	NORTH DAKOTA	No
2	363LN0000X	Nurse Practitioner	Neonatal	R33463	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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