MARCIA KETTERLING


Address: 302 N Main St, Elgin, ND 58533
Phone: 7015843010

MARCIA KETTERLING (NPI# 1396895942) 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) 1396895942
Entity Type Individual
Full Name MARCIA KETTERLING
Credential FNP C
Practice Address 302 N Main St
Elgin
ND 58533
Mailing Address 300 N 7th St
Bismarck
ND 58501-4439
Practice Telephone 7015843010
Practice Fax Number 7015843011
Mailing Fax Number 7015843011
Enumeration Date 2007-01-12
Last Update Date 2017-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R17917 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 19632 05
ND BLUE CROSS BLUE SHIELD 23182 01
ND DEA MK0692524 01

Office Location

Street Address 302 N MAIN ST
City ELGIN
State ND
Zip Code 58533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821392093 Home Town Health Physician Assistant 302 N Main St, Elgin, ND 58533 2011-01-03
1083935266 George S Hsu Clinic/Center 302 N Main St, Elgin, ND 58533-7108 2010-06-22
1255661229 Hands On Health, Inc. Occupational Therapist 302 N Main St, Elgin, ND 58533-7108 2010-01-13
1558305839 George S. Hsu Chiropractor 302 N Main St, Elgin, ND 58533-7108 2006-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740820299 Three In One Physical Therapy, Pllc Physical Therapist 207 Main Street North, Elgin, ND 58533 2020-01-13
1033233150 Nancy L Mcpherson Physician Assistant 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 2007-03-16
1811036247 Tyesha Dawn Marie Dent Physician Assistant 302 North Main, Elgin, ND 58533 2007-02-05
1407902919 Elizabeth Elaine Sundberg Emergency Medicine 601 East St. N, Elgin, ND 58533 2007-01-26
1629165915 Jacobson Memorial Hospital Care Center Skilled Nursing Facility 601 E Street N, Elgin, ND 58533 2006-10-06
1013012327 Family Vision Clinic LLP Optometrist 110 Main St N, Elgin, ND 58533 2006-09-13
1508161811 Deepak Manmohan Goyal Internal Medicine 603 East St N, Elgin, ND 58533 2011-01-18
1023036050 Economy Drug Inc Pharmacy 201 N Main St, Elgin, ND 58533 2006-07-17
1871691519 Jacobson Memorial Hospital Care Center Clinic/Center 603 East St N, Elgin, ND 58533-7105 2006-09-20
1336196039 Jacobson Memorial Hospital Care Center General Acute Care Hospital 601 East St N, Elgin, ND 58533-7105 2006-05-28
Find all providers in zip 58533

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801496328 Kellie Soria Nurse Practitioner 8600 Showers Dr, Elgin, TX 78621-5278 2020-10-26
1669079901 Kelley Brown Davis Nurse Practitioner 2689 Us-1, Elgin, SC 29045 2020-10-08
1083266878 Jean K Kombwa Nurse Practitioner 66 Grove Ct, Elgin, IL 60120-5588 2019-07-11
1407416324 Gloria Benoit Williams Nurse Practitioner 889 Royal Oak Way, Elgin, SC 29045-8012 2019-06-13
1538681671 Josephina Pilolli Nurse Practitioner 2490 Bushwood Dr, Unit F, Elgin, IL 60124 2017-07-11
1598204638 Kimberly Horton Nurse Practitioner 153 Dawson Dr, Elgin, IL 60120-6409 2017-02-22
1073961314 Annie Kluch Nurse Practitioner 801 Villa St, Elgin, IL 60120-8001 2016-05-26
1639543937 Grace Marie Roxas Nurse Practitioner 2025 Salem Road, Elgin, IL 60123-9006 2015-11-24
1942674585 Monica Rose Herdrich Nurse Practitioner 1665 Larkin Ave, Elgin, IL 60123-5977 2015-11-19
1073995916 Betty Lois Pratt Nurse Practitioner 373 Summit St Ste 102, Elgin, IL 60120-3748 2015-06-28
Find all providers in ELGIN

Competitor

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City ELGIN
Zip Code 58533

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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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