Provider Demographics
NPI:1952060204
Name:SLIVNIK, STEPHANIE (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SLIVNIK
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:MCVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58254-0307
Mailing Address - Country:US
Mailing Address - Phone:701-322-4328
Mailing Address - Fax:
Practice Address - Street 1:108 N MAIN ST.
Practice Address - Street 2:
Practice Address - City:MCVILLE
Practice Address - State:ND
Practice Address - Zip Code:58254-0307
Practice Address - Country:US
Practice Address - Phone:701-322-4328
Practice Address - Fax:701-322-2244
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR47095163W00000X
ND200345363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse