Provider Demographics
NPI:1043508526
Name:HILLESTAD, CHANTEL K (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHANTEL
Middle Name:K
Last Name:HILLESTAD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHANTEL
Other - Middle Name:K
Other - Last Name:TESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 5010
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58702-5010
Mailing Address - Country:US
Mailing Address - Phone:701-418-8000
Mailing Address - Fax:701-857-5031
Practice Address - Street 1:400 BURDICK EXPY E
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-4768
Practice Address - Country:US
Practice Address - Phone:701-857-7382
Practice Address - Fax:701-857-7071
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR31783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily