Individual provider · Type 1 NPI
Samantha Jo Fugleberg
Family Nurse Practitioner · Fargo, ND
NPI number
1497489751
Active
Practice location
801 Broadway N Fl 3
Fargo, ND 58102-3641
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R36750 (ND) |
| Nurse Practitioner | 363L00000X | R36750 (ND) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497489751
Samantha Jo Fugleberg's National Provider Identifier is 1497489751, issued on Jul 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fargo, ND. The record was last updated on Apr 12, 2023.