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NPI Code Detail

MEDICARE: DENICE LYNN GOELZ

MEDICARE: DENICE LYNN GOELZ
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
1164W00000XLicensed Practical NurseL10441ND

General Provider Information

NPI Number : 1487465589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENICE LYNN GOELZ
Provider Business Mailing Address
First Line : 2501 VILLA DR S APT 303
Second Line :
City : FARGO
State : ND
Zip : 58103-3632
Country : US
Telephone Number : 701-298-2419
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 : 701-239-3726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2025
Last Update Date : 01/18/2026

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Directions to “ DENICE LYNN GOELZ ” Practice Location

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