Healthcare Provider Details

I. General information

NPI: 1396588208
Provider Name (Legal Business Name): NITASHA LYNN WERLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NITASHA LYNN ASPLIN

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELM ST N
FARGO ND
58102-2417
US

IV. Provider business mailing address

1953 67TH AVE S
FARGO ND
58104-7421
US

V. Phone/Fax

Practice location:
  • Phone: 701-239-3700
  • Fax:
Mailing address:
  • Phone: 701-318-2232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR44849
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: