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NPI 1801456074

IndividualActive

Amanda Witlock

NPI 1801456074 · Registered Nurse · Fargo, ND

Provider details

NPI number: 1801456074
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: R43988 (ND)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense R43988 (ND)
Nursing Service Providers

Practice location

1240 25th St S

Fargo, ND 58103-2367

Phone: (701) 241-1360

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

1037 1st St N

Fargo, ND 58102-3727

Registry dates

Enumerated: 2019-06-19
Last updated: 2019-06-19

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

Amanda Witlock — NPI 1801456074, Fargo, ND | NPI Central