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).
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 |
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 |
Street Address |
301 NP AVE N |
City | FARGO |
State | ND |
Zip Code | 58102-4835 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 58102 |
Taxonomy Code | 364SF0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Family Health |
Definition to come... |
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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.