Shanna Lorraine Bicknase in Fargo - Student In An Organized Health Care Education/training Program

Shanna Lorraine Bicknase - NPI 1023158458

Shanna Lorraine Bicknase is a Student In An Organized Health Care Education/training Program in Fargo, North Dakota. Shanna Lorraine Bicknase practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Shanna Lorraine Bicknase is 1023158458. The last update date is 2007-07-08.

Shanna Lorraine Bicknase's current location address is 1301 12th Ave N, Fargo, North Dakota. You can contact this provider via phone number 7012318011. The mailing address for Shanna Lorraine Bicknase is 1301 12th Ave N, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Shanna Lorraine Bicknase
Address 1301 12th Ave N, Fargo, North Dakota
Phone Number 7012318011
Fax Number
Sole Proprietor Y
Credentials ATC

NPI Number Detail

NPI Number 1023158458
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 12th Ave N
City Fargo
State North Dakota (ND)
Post Code 581023400
Phone Number 7012318011
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 308-06
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Shanna Lorraine Bicknase

What is the unique identifier code issued to Shanna Lorraine Bicknase by the Centers for Medicare & Medicaid Services (CMS)?

The Shanna Lorraine Bicknase has been assigned the NPI (National Provider Identifier) 1023158458. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Shanna Lorraine Bicknase is physically located?

The Shanna Lorraine Bicknase is physically situated at the following address: 1301 12Th Ave N, Fargo, ND, 581023400.

What is the Shanna Lorraine Bicknase's specialty and taxonomy code?

The Shanna Lorraine Bicknase's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.

On what date did the Shanna Lorraine Bicknase receive its 1023158458 assignment from the Centers for Medicare & Medicaid Services?

The Shanna Lorraine Bicknase was assigned its 1023158458 by the Centers for Medicare & Medicaid Services on 2007-02-07.

When was the information pertaining to Shanna Lorraine Bicknase most recently updated or revised?

The details related to Shanna Lorraine Bicknase, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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