Lookup NPI Numbers from the NPI Registry
NPI Profile for SHASTA MANDAN in NEW TOWN, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1386092203 |
|
| Status | Active | |
| Credentials | R.N., C.D.E. | |
| Entity | Individual | |
| Enumeration date | 06/01/2016 | |
| Last updated | 06/01/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHASTA MANDAN
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SHASTA MANDAN, R.N., C.D.E.