LAURIE A CHITTUM (NPI# 1366892689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366892689 |
| Entity Type | Individual |
| Full Name | LAURIE A CHITTUM |
| Other Name | LAURIE HANSEN |
| Credential | NP-C |
| Practice Address |
1527 Broadway St Alexandria MN 56308-2537 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 3207620399 |
| Practice Fax Number | 3207626847 |
| Mailing Telephone | 7012341230 |
| Mailing Fax Number | 7012342045 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R2446727 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001095 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 S State St, Aberdeen, SD 574014501 | 6059411313 |
| Street Address |
1527 BROADWAY ST |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279753 | Thomas Joseph Holsinger | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2005-07-20 |
| 1396108437 | Britney A Mach | Physician Assistant | 1527 Broadway St, Alexandria, MN 56308-2537 | 2016-04-04 |
| 1124487038 | Jacob Timothy Mach | Physician Assistant | 1527 Broadway St, Alexandria, MN 56308-2537 | 2016-02-19 |
| 1245602119 | Megan Larsen | Nurse Practitioner | 1527 Broadway St, Alexandria, MN 56308-2537 | 2015-10-30 |
| 1639548795 | Casey B Hovendick | Nurse Practitioner | 1527 Broadway St, Alexandria, MN 56308-2537 | 2015-09-18 |
| 1790191435 | Samuel Hintz | Psychologist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2014-07-02 |
| 1215342068 | Kaylee Miller | Podiatrist | 1527 Broadway St, Alexandria, MN 56308-2537 | 2014-06-30 |
| 1043551773 | Sarah Lyn Feierabend | Registered Nurse | 1527 Broadway St, Alexandria, MN 56308-2537 | 2013-03-05 |
| 1548532468 | Sanford Clinic North | Internal Medicine | 1527 Broadway St, Alexandria, MN 56308-2537 | 2012-02-08 |
| 1104108166 | Anne G Gilbertson | Advanced Practice Midwife | 1527 Broadway St, Alexandria, MN 56308-2537 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131435 | Nora H Elnahas | Nurse Practitioner | 5882 Wescott Hills Way, Alexandria, VA 22315-5636 | 2020-10-11 |
| 1376158600 | Margrek S. Dorsey | Nurse Practitioner | 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 | 2020-09-14 |
| 1639784432 | Nichole Varga | Nurse Practitioner | 8174 Bianca Pl, Alexandria, VA 22309-3761 | 2020-09-09 |
| 1831707488 | Khudsiatu Tucker | Nurse Practitioner | 1636 Belle View Boulevard, Alexandria, VA 22307 | 2020-07-20 |
| 1134747850 | Lindsey H. Welch | Nurse Practitioner | 3601 Jackson St, Alexandria, LA 71303-3002 | 2020-07-09 |
| 1376160762 | Brittany Ann Filliben | Nurse Practitioner | 6944 Ellingham Cir Unit D, Alexandria, VA 22315-6509 | 2020-07-01 |
| 1447876289 | Headache Clinic of Cenla | Nurse Practitioner | 4508 Coliseum Blvd Ste L, Alexandria, LA 71303-3564 | 2020-06-17 |
| 1912522061 | Andrea Mclure Waters | Nurse Practitioner | 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 | 2020-06-15 |
| 1568082725 | Catherine Corcoran | Nurse Practitioner | 115 S Columbus St, Alexandria, VA 22314-5008 | 2020-04-17 |
| 1427677574 | April Bomi Kim | Nurse Practitioner | 50 S Pickett St Ste 114, Alexandria, VA 22304-7206 | 2020-04-09 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on LAURIE A CHITTUM.
| 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.