Wellformed AI

NPI 1295743615 · live from the CMS NPI Registry

Sherry Maly, RN

Nutritionist, Nutrition, Education in Fargo, ND. National Provider Identifier 1295743615, active.

NPI record

NPI1295743615 Type 1 · individual
StatusActive
Primary specialtyNutritionist, Nutrition, Education 133NN1002X
Practice location1702 University Dr S, Fargo, ND 58103
Practice phone701-364-3300
Mailing addressPo Box 6001, Fargo, ND 58108
EnumeratedAugust 3, 2006
Last updatedAugust 21, 2012
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Diabetes Educator163WD0400XR18112 (ND)
Nutritionist, Nutrition, Education primary133NN1002XR18112 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.