Samantha Jo Fugleberg
Samantha Jo Fugleberg is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2022, 4 years ago. Practices with Sanford Health Network North, a 115-clinician group and accepts Medicare assignment. Licensed in North Dakota.
- Years since qualifying
- 4
- Licensed in
- ND
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
801 Broadway N Fl 3Fargo, ND 58102-3641
Phone: (701) 234-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence R36750 (ND) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence R36750 (ND) |
Record details
| NPI number | 1497489751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Sanford Health Network North — 115 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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