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NPI Code Detail

MEDICARE: RACHEL A BLUMHARDT

MEDICARE: RACHEL A BLUMHARDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor522-2-1-05ND
2101YP2500XProfessional Counselor522-2-1-05-198ND

General Provider Information

NPI Number : 1003146861
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL A BLUMHARDT
Provider Business Mailing Address
First Line : 1201 25TH ST S
Second Line : PO BOX 9859
City : FARGO
State : ND
Zip : 58103-2311
Country : US
Telephone Number : 701-451-4900
Fax Number : 701-451-5056
Provider Business Practice Location Address
First Line : 2701 12TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-8753
Country : US
Telephone Number : 701-451-4900
Fax Number : 651-925-0057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2009
Last Update Date : 02/17/2020

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Directions to “ RACHEL A BLUMHARDT ” Practice Location

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