Susan Carol Nokleby is a School in Bemidji, Minnesota. Susan Carol Nokleby practices all healthcare services and medical treatments related to School. The NPI Number for Susan Carol Nokleby is 1063565281. The last update date is 2007-07-08.
Susan Carol Nokleby's current location address is 912 Donald Ave Se, Bemidji, Minnesota. You can contact this provider via phone number 2187513353 and fax number 2183333175. The mailing address for Susan Carol Nokleby is 912 Donald Ave Se, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Carol Nokleby |
|---|---|
| Address | 912 Donald Ave Se, Bemidji, Minnesota |
| Phone Number | 2187513353 |
| Fax Number | 2183333175 |
| Sole Proprietor | N |
| Credentials | RN, MS, LS |
NPI Number Detail
| NPI Number | 1063565281 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 912 Donald Ave Se |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566014904 |
| Phone Number | 2187513353 |
| Fax Number | 2183333175 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 163Ws0200X |
| Licence No | R 075546-5 |
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Definition: A registered nurse based at an elementary, middle or high school providing health services to students. |
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What is the Susan Carol Nokleby's unique identification number?
The Susan Carol Nokleby has been assigned the NPI (National Provider Identifier) Number 1063565281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Susan Carol Nokleby is physically located?
The Susan Carol Nokleby is situated at the following address: 912 Donald Ave Se, Bemidji, MN 566014904.
What is Susan Carol Nokleby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan Carol Nokleby is School, and the taxonomy code that categorizes this field of expertise is 163Ws0200X.
On what date did the Susan Carol Nokleby receive its 1063565281 assignment from the Centers for Medicare & Medicaid Services?
The Susan Carol Nokleby was assigned its 1063565281 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Susan Carol Nokleby most recently updated or revised?
The information pertaining to Susan Carol Nokleby, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.