IndividualActive
Shasta Mandan, R.N., C.D.E.
NPI 1386092203 · Diabetes Educator Registered Nurse · New Town, ND
Provider details
- NPI number
- 1386092203
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- R.N., C.D.E.
- Sex
- Female
- Sole proprietor
- No
- License
- R29464 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
1058 College Dr
New Town, ND 58763-9112
Phone: (701) 627-7931
Approximate (ZIP-level) locationGet directions
Mailing address
1058 College Dr
New Town, ND 58763-9112
Registry dates
- Enumerated
- 2016-06-01
- Last updated
- 2016-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.