Avis L Grothem in Fargo - Obstetrics & Gynecology
Avis L Grothem - NPI 1841379401
Avis L Grothem is a Obstetrics & Gynecology in Fargo, North Dakota. Avis L Grothem practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Avis L Grothem is 1841379401. The last update date is 2007-07-08.
Avis L Grothem's current location address is Po Box 2625, Fargo, North Dakota. You can contact this provider via phone number 7012397111. The mailing address for Avis L Grothem is Po Box 2625, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avis L Grothem |
|---|---|
| Address | Po Box 2625, Fargo, North Dakota |
| Phone Number | 7012397111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP/CNM |
NPI Number Detail
| NPI Number | 1841379401 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2625 |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581082625 |
| Phone Number | 7012397111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 363Lx0001X |
| Licence No | R29668 |
|
Definition: An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19747 | ND | -- | |
| 527465600 | MN | -- |
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What is the unique 10-digit identification code issued to Avis L Grothem by the Centers for Medicare & Medicaid Services?
The Avis L Grothem has been assigned the NPI (National Provider Identifier) 1841379401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Avis L Grothem is physically located?
The Avis L Grothem is situated at the following address: Po Box 2625, Fargo, ND 581082625.
What is Avis L Grothem's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Avis L Grothem is Obstetrics & Gynecology, and the taxonomy code that categorizes this field of expertise is 363Lx0001X.
On what date did the Avis L Grothem receive its 1841379401 assignment from the Centers for Medicare & Medicaid Services?
The Avis L Grothem was assigned its 1841379401 by the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information pertaining to Avis L Grothem most recently updated or revised?
The details related to Avis L Grothem, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.