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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19747 ND --
527465600 MN --

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FAQs about Avis L Grothem

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.

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