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NPI Code Detail

MEDICARE: DESIREE JOANNE GAGNER-TJELLESEN RNCS,APRN,BC

MEDICARE:   DESIREE JOANNE GAGNER-TJELLESEN  RNCS,APRN,BC
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
1364S00000XClinical Nurse SpecialistR24745ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1638R1GAOTHERMNBCBS MN PROVIDER NUMBER
2020043OTHERNDBCBS ND PROVIDER NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518906437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE JOANNE GAGNER-TJELLESEN RNCS,APRN,BC
Provider Business Mailing Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Provider Business Practice Location Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 03/07/2023

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