NPI 1225576341 · live from the CMS NPI Registry
Spirit Lake Tribe
Registered Nurse, Diabetes Educator in Fort Totten, ND. National Provider Identifier 1225576341, active.
NPI record
| NPI | 1225576341 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 3883 74th Ave Ne, Fort Totten, ND 58335 |
| Practice phone | 701-766-1600 |
| Mailing address | Po Box 309, Fort Totten, ND 58335 |
| Enumerated | February 9, 2017 |
| Last updated | March 15, 2017 |
| Authorized official | Michelle Belt, Ceo |
| Other names | Spirit Lake Health Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Registered Nurse, Diabetes Educator primary | 163WD0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.