IndividualActive
Samantha Jensen, CPED, CFO
NPI 1093496523 · Pedorthist · Fargo, ND
Provider details
- NPI number
- 1093496523
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPED, CFO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 232-3241
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.