NPI 1013452655 · live from the CMS NPI Registry
Kimberly Crandall, RN, BSN, CDE
Registered Nurse, Diabetes Educator in Fargo, ND. National Provider Identifier 1013452655, active.
NPI record
| NPI | 1013452655 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 2400 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-234-2245 |
| Enumerated | January 5, 2017 |
| Last updated | January 5, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator | 163WD0400X | 130719-7 (MN) |
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R30152 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.