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Shane Iljana — NPI 1194510289, Fargo, ND | NPI Central

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NPI 1194510289

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Shane Iljana

NPI 1194510289 · Technician · Fargo, ND

Provider details

NPI number: 1194510289
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

TechnicianPrimary374700000X
Nursing Service Related Providers

Practice location

Po Box 11394

Fargo, ND 58106-1394

Phone: (218) 940-2331

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

Po Box 11394

Fargo, ND 58106-1394

Registry dates

Enumerated: 2025-04-10
Last updated: 2025-04-10
Certified: 2025-04-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.