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).
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457527376 | Beverly Jane Greenwald | Social Worker | 3 Dunwoody Park, Suite 103, Dunwoody, GA 30338-7405 | 2008-04-30 |
| Street Address |
117 22 ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on BEVERLY JEANNE GREENWALD.
| 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.