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NPI Code Detail

MEDICARE: PUBLIC HEALTH NURSING

MEDICARE: PUBLIC HEALTH NURSING
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
1261QP0905XState or Local Public Health Clinic/Center

General Provider Information

NPI Number : 1710545231
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIC HEALTH NURSING
Provider Business Mailing Address
First Line : PO BOX 480
Second Line :
City : FORT TOTTEN
State : ND
Zip : 58335-0480
Country : US
Telephone Number : 701-766-4236
Fax Number : 701-766-4878
Provider Business Practice Location Address
First Line : 816 3RD AVE N
Second Line :
City : FORT TOTTEN
State : ND
Zip : 58335-9998
Country : US
Telephone Number : 701-766-4236
Fax Number : 701-766-4878
Authorized Official
Title or Position : 3RD PARTY BILLING MANAGER
Name : LINDA SUE PELTIER
Credential :
Telephone Number : 701-766-1667
Provider Enumeration Date : 05/30/2019
Last Update Date : 03/12/2020

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Directions to “PUBLIC HEALTH NURSING ” Practice Location

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