BEVERLY JEANNE GREENWALD


Address: 117 22 St S, Fargo, ND 58103
Phone: 7012614795

BEVERLY JEANNE GREENWALD (NPI# 1740417302) 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) 1740417302
Entity Type Individual
Full Name BEVERLY JEANNE GREENWALD
Credential FNP-BC NP-C
Practice Address 117 22 St S
Fargo
ND 58103
Mailing Address 1610 5th Ave S
Fargo
ND 58103
Practice Telephone 7012614795
Mailing Telephone 7012614795
Enumeration Date 2009-06-22
Last Update Date 2014-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R22718 ND Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R 158784-9 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers BEVERLY GREENWALD

NPI Name Taxonomy Address Enumeration
1457527376 Beverly Jane Greenwald Social Worker 3 Dunwoody Park, Suite 103, Dunwoody, GA 30338-7405 2008-04-30

Office Location

Street Address 117 22 ST S
City FARGO
State ND
Zip Code 58103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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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
1447872163 Gina Marie Kinzler Nurse Practitioner 4840 23rd Ave S, Fargo, ND 58104-9136 2020-05-15
1669017265 Haley Faye Wahl Nurse Practitioner 761 48th St S, Fargo, ND 58103-7216 2019-11-07
1952882748 Tonya L Hager Nurse Practitioner 1401 32nd St Sw, Fargo, ND 58103-3428 2018-08-28
1295257400 Nicole L. Mears Nurse Practitioner 301 Northern Pacific Ave N, Fargo, ND 58102-4835 2017-07-10
1023491909 James Troy Upton Nurse Practitioner 3000 32nd Avenue, Essentia Health 32nd Avenue Clinic, Fargo, ND 58103-6132 2015-07-09
1437404795 Melissa Ann Knecht-savey Nurse Practitioner 222 Broaway N, Ste. B100e, Fargo, ND 58102-4479 2012-07-23
1457615155 Chantee Seung Gruenhagen Nurse Practitioner 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 2012-06-27
1144592486 Sara B Hansen Nurse Practitioner 3955 56th St S Ste D, Fargo, ND 58104-4845 2012-02-02
1104065499 Tamra A Garberg Nurse Practitioner 5257 27th St S Ste 201, Fargo, ND 58104-7782 2009-02-11
1316094477 Informed Care Solutions, Inc Nurse Practitioner 2710 32nd Ave S, Fargo, ND 58103-6170 2007-01-04
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Competitor

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City FARGO
Zip Code 58103

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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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