Connie M Ebach in New Town - Nurse Practitioner
Connie M Ebach - NPI 1053417493
Connie M Ebach is a Nurse Practitioner in New Town, North Dakota. Connie M Ebach practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Connie M Ebach is 1053417493. The last update date is 2022-07-21.
Connie M Ebach's current location address is 1058 College Dr, New Town, North Dakota. You can contact this provider via phone number 7016274750 and fax number 7016272809. The mailing address for Connie M Ebach is 1058 College Dr, New Town, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie M Ebach |
|---|---|
| Address | 1058 College Dr, New Town, North Dakota |
| Phone Number | 7016274750 |
| Fax Number | 7016272809 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1053417493 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1058 College Dr |
|---|---|
| City | New Town |
| State | North Dakota (ND) |
| Post Code | 587639112 |
| Phone Number | 7016274750 |
| Fax Number | 7016272809 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R22087 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19686 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Connie M Ebach by the Centers for Medicare & Medicaid Services?
The Connie M Ebach has been assigned the NPI (National Provider Identifier) 1053417493. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Connie M Ebach is physically located?
The Connie M Ebach is physically situated at the following address: 1058 College Dr, New Town, ND, 587639112.
What is Connie M Ebach's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Connie M Ebach is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Connie M Ebach receive the assignment of its 1053417493 from the Centers for Medicare & Medicaid Services?
The Connie M Ebach was issued its 1053417493 by the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information regarding Connie M Ebach most recently updated?
The details pertaining to the Connie M Ebach, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.