Healthcare Provider Details

I. General information

NPI: 1831036227
Provider Name (Legal Business Name): SHAUNA MARIE HARKISON MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 REIGER DR STE 4
WILLISTON ND
58801-5838
US

IV. Provider business mailing address

433 REIGER DR STE 4
WILLISTON ND
58801-5838
US

V. Phone/Fax

Practice location:
  • Phone: 701-580-1943
  • Fax:
Mailing address:
  • Phone: 701-580-1943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR39383
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: