OrganizationActive
Nurturing Wellness Pediatrics, PLLC
NPI 1619503760 · Pediatrics Physician · Bismarck, ND
Provider details
- NPI number
- 1619503760
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathy Anderson, Pediatrician(401) 952-0293
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1500 Interchange Ave Ste 200
Bismarck, ND 58501-2084
Phone: (401) 952-0293
Approximate (ZIP-level) locationGet directions
Mailing address
5119 Fountainblue Dr
Bismarck, ND 58503-8893
Additional practice locations (1)
- 5119 Fountainblue DrBismarck, ND 58503-8893Phone: (401) 952-0293
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.