Nurse Practitioner, Neonatal
MALLORY HESTDALEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851752885 · enumerated 2016-03-18 · record updated 2020-09-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 801 BROADWAY N, FARGO, ND, 58102-3641 (701) 234-2000 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 5074, SIOUX FALLS, SD, 57117-5074 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License R33463 ND
- Nurse Practitioner, Neonatal 363LN0000X · Primary · License R33463 ND
In this directory
Locations and evidence
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Practice location
FARGO, ND, 581023641
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.