Healthcare Provider Details

I. General information

NPI: 1255094827
Provider Name (Legal Business Name): PAITYN DAWNAE FEATHERSTONE MSN, APRN-CNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 HIGHWAY 2 W STE 10
DEVILS LAKE ND
58301-2913
US

IV. Provider business mailing address

210 HIGHWAY 2 W STE 10
DEVILS LAKE ND
58301-2913
US

V. Phone/Fax

Practice location:
  • Phone: 701-662-1046
  • Fax:
Mailing address:
  • Phone: 701-662-1046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number203041
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: