Individual provider · NPI-1

Samantha Nicole Axtman, FNP

Nurse Practitioner · Bismarck, ND

NPI number1093484263
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1093484263
Entity type
Individual (NPI-1)
Name
Ms. Samantha Nicole Axtman
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2021
Certification date
Jan 9, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR38981NDYes
207Q00000X Family MedicineR38981ND

Practice location

222 N 7th St
Bismarck, ND 58501-4436

Phone 701-323-6000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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