MEDICARE: STEPHANIE SLIVNIK DNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R47095	ND
2	363LF0000X	Family Nurse Practitioner	200345	ND

General Provider Information

NPI Number	:	1952060204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SLIVNIK DNP, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 307
Second Line	:
City	:	MCVILLE
State	:	ND
Zip	:	58254-0307
Country	:	US
Telephone Number	:	701-322-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 N MAIN ST.
Second Line	:
City	:	MCVILLE
State	:	ND
Zip	:	58254-0307
Country	:	US
Telephone Number	:	701-322-4328
Fax Number	:	701-322-2244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	08/06/2024

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