Healthcare Provider Details

I. General information

NPI: 1811913379
Provider Name (Legal Business Name): ARDALIA S BIEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARDALIA S PRAUS PA-C

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 ELM AVE
LINTON ND
58552-0730
US

IV. Provider business mailing address

PO BOX 730
LINTON ND
58552-0730
US

V. Phone/Fax

Practice location:
  • Phone: 701-254-4531
  • Fax: 701-254-5459
Mailing address:
  • Phone: 701-254-4531
  • Fax: 701-254-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPAC0197
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: