Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY D WIERSMA, RN
ActiveNutrition, Education · GRAND FORKS, ND
Registration Details
- NPI Number
- 1457543464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2007 (18.726117209844 yrs)
- Last Updated
- Aug 14, 2007
- License
-
R-062311-5 (MN)
Practice Information
- Address
-
1200 S COLUMBIA RDGRAND FORKS, ND, 582066002Browse ND providers · Browse ZIP 58206
- Phone
- 7017805000
- Fax
- 7017801942
- Primary Specialty
-
Nutrition, Education
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Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.