Healthcare Provider Details

I. General information

NPI: 1518815364
Provider Name (Legal Business Name): SUZIE CHERWINSKI CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 N 11TH ST
BISMARCK ND
58503-0594
US

IV. Provider business mailing address

3101 N 11TH ST
BISMARCK ND
58503-0594
US

V. Phone/Fax

Practice location:
  • Phone: 701-224-9521
  • Fax:
Mailing address:
  • Phone: 701-224-9521
  • Fax: 701-224-1360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number49481
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberTECH1492
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: