Healthcare Provider Details

I. General information

NPI: 1841508769
Provider Name (Legal Business Name): CHRISTEN CARUFEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 N 14TH ST
BISMARCK ND
58501-4324
US

IV. Provider business mailing address

806 N WASHINGTON ST
BISMARCK ND
58501-3623
US

V. Phone/Fax

Practice location:
  • Phone: 701-323-4028
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier55684
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: