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NPI Code Detail

MEDICARE: NICOLE JANORSCHKE RN

MEDICARE: NICOLE JANORSCHKE RN
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
1163W00000XRegistered NurseR46636ND

General Provider Information

NPI Number : 1508640145
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JANORSCHKE RN
Provider Business Mailing Address
First Line : 1626 29TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-5923
Country : US
Telephone Number : 701-793-1309
Fax Number :
Provider Business Practice Location Address
First Line : 2624 9TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58103-2350
Country : US
Telephone Number : 701-715-5307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2023
Last Update Date : 05/04/2026

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