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NPI Code Detail

MEDICARE: MR. FLOYD ELIAS NEMER CRNA

MEDICARE: MR. FLOYD ELIAS NEMER CRNA
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
1367500000XCertified Registered Nurse AnesthetistR18871ND

General Provider Information

NPI Number : 1548205305
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FLOYD ELIAS NEMER CRNA
Provider Business Mailing Address
First Line : 2926 37 1/2 AVE SW
Second Line :
City : FARGO
State : ND
Zip : 58104-7053
Country : US
Telephone Number : 701-235-6302
Fax Number :
Provider Business Practice Location Address
First Line : 2101 ELM ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-2417
Country : US
Telephone Number : 701-232-3241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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