ELIZABETH MEHUS-WALLER


Address: 301 Np Ave N, Fargo, ND 58102-4835
Phone: 7012713344

ELIZABETH MEHUS-WALLER (NPI# 1083090112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083090112
Entity Type Individual
Full Name ELIZABETH MEHUS-WALLER
Other Name MRS. ELIZABETH ANNE MEHUS
Credential NP-C
Practice Address 301 Np Ave N
Fargo
ND 58102-4835
Practice Telephone 7012713344
Mailing Telephone 7012713344
Enumeration Date 2015-07-30
Last Update Date 2015-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
R32597 ND Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 NP AVE N
City FARGO
State ND
Zip Code 58102-4835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326040676 Matthew Gilbertson Chiropractor 301 Np Ave N, Fargo, ND 58102-4835 2005-06-01
1699325191 Whitney Renae Fear Nurse Practitioner 301 Np Ave N, Fargo, ND 58102-4835 2019-09-17
1821508193 Erik Sven Mattson Pharmacist 301 Np Ave N, Fargo, ND 58102-4835 2017-10-02
1407365398 Katie Banley Nurse Practitioner 301 Np Ave N, Fargo, ND 58102-4835 2017-09-24
1699296806 Tanya Stephanie Baity Advanced Practice Midwife 301 Np Ave N, Fargo, ND 58102-4835 2017-06-28
1881148005 Kali Luecke Physician Assistant 301 Np Ave N, Fargo, ND 58102-4835 2016-08-04
1003267394 Kayla L. Nelson Nurse Practitioner 301 Np Ave N, Fargo, ND 58102 2016-06-28
1700252632 Brittany Noel Michels Physician Assistant 301 Np Ave N, Fargo, ND 58102-4835 2015-08-14
1164804548 Erika Guetter Dentist 301 Np Ave N, Fargo, ND 58102-4835 2015-06-23
1033525365 Kathryn Gray Physician Assistant 301 Np Ave N, Fargo, ND 58102-4835 2014-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

Competitor

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City FARGO
Zip Code 58102

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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