Individual provider · Type 1 NPI

Shelly Marie Mahowald, FNP-C

Family Nurse Practitioner · Bemidji, MN

NPI number 1336775717 Active

Practice location

1611 Anne St NW
Bemidji, MN 56601-5114

Fax (218) 333-5880

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7109 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1336775717

Shelly Marie Mahowald, FNP-C's National Provider Identifier is 1336775717, issued on Mar 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bemidji, MN. The record was last updated on Jul 6, 2020.