Marc Leslie Engelbrektson in Fargo - Nurse Anesthetist, Certified Registered

Marc Leslie Engelbrektson - NPI 1710006887

Marc Leslie Engelbrektson is a Nurse Anesthetist, Certified Registered in Fargo, North Dakota. Marc Leslie Engelbrektson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Marc Leslie Engelbrektson is 1710006887. The last update date is 2009-04-09.

Marc Leslie Engelbrektson's current location address is 2585 23rd Ave S., Fargo, North Dakota. You can contact this provider via phone number 7014784404 and fax number 7014784407. The mailing address for Marc Leslie Engelbrektson is 2585 23rd Ave S., Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc Leslie Engelbrektson
Address 2585 23rd Ave S., Fargo, North Dakota
Phone Number 7014784404
Fax Number 7014784407
Sole Proprietor N
Credentials C.R.N.A.

NPI Number Detail

NPI Number 1710006887
Provider Enumeration Date 2007-03-28
Last Updated Date 2009-04-09

Provider Mailing Address Detail

Address 2585 23rd Ave S.
City Fargo
State North Dakota (ND)
Post Code 58103
Phone Number 7014784404
Fax Number 7014784407

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 36098
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12355 ND --
488843000 MN --
24266 ND BLUE CROSS BLUE SHIELD

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FAQs about Marc Leslie Engelbrektson

What is the unique identifier code issued to Marc Leslie Engelbrektson by the Centers for Medicare & Medicaid Services?

The Marc Leslie Engelbrektson has been assigned the NPI (National Provider Identifier) 1710006887. 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 share the complete physical location address where Marc Leslie Engelbrektson's facilities are situated?

The facilities of Marc Leslie Engelbrektson are physically located at the following address: 2585 23Rd Ave S., Fargo, ND, 58103.

What is Marc Leslie Engelbrektson's area of expertise and its corresponding taxonomy classification?

The Marc Leslie Engelbrektson's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Marc Leslie Engelbrektson receive its 1710006887 assignment from the Centers for Medicare & Medicaid Services?

The Marc Leslie Engelbrektson was assigned its 1710006887 by the Centers for Medicare & Medicaid Services on 2007-03-28.

As of what date were the details related to Marc Leslie Engelbrektson most recently updated or revised?

The information pertaining to Marc Leslie Engelbrektson, including its address, specialty, and other relevant details, was last updated or revised on 2009-04-09.

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