| Doctor Name: | ANDREA LYNN STAHL |
| NPI Number: | 1467701847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R28636 |
| Business Practice Address: | 800 Main Ave S Rugby, ND - 583682118 |
| Business Phone Number: | 7017765235 |
| Business Fax Number: | 7017765297 |
| Mailing Address: | 800 Main Ave S, RUGBY |
| State: | ND |
| Postal Code: | 583682118 |
| Phone Number: | 7017765235 |
| Fax Number: | 7017765297 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | R28636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |