NPI 1164869277 · live from the CMS NPI Registry
Amanda D Leddige, AuD
Audiologist in Bismarck, ND. National Provider Identifier 1164869277, active.
NPI record
| NPI | 1164869277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 4900 Ottawa St Ste 300, Bismarck, ND 58503 |
| Practice phone | 701-751-6232 |
| Mailing address | 705 Bremner Ave, Bismarck, ND 58503 |
| Enumerated | May 30, 2013 |
| Last updated | February 1, 2022 |
| Sole proprietor | No |
| Other names | Amanda Boutilier |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hearing Instrument Specialist | 237700000X | H-0318 (ND) |
| Audiologist primary | 231H00000X | 1262 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.