Individual provider · Type 1 NPI
Shasta Mandan, R.N., C.D.E.
Diabetes Educator Registered Nurse · New Town, ND
NPI number
1386092203
Active
Practice location
1058 College Dr
New Town, ND 58763-9112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse Primary | 163WD0400X | R29464 (ND) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1386092203
Shasta Mandan, R.N., C.D.E.'s National Provider Identifier is 1386092203, issued on Jun 1, 2016. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in New Town, ND. The record was last updated on Jun 1, 2016.