NPI 1366699779 · live from the CMS NPI Registry
Jerrica Maxson, AuD
Audiologist in Minot, ND. National Provider Identifier 1366699779, active.
NPI record
| NPI | 1366699779 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2305 37th Ave Sw, Minot, ND 58701 |
| Practice phone | 701-857-5000 |
| Mailing address | Po Box 5010, Minot, ND 58702 |
| Enumerated | August 27, 2008 |
| Last updated | April 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 2008011536 (MO) |
| Audiologist | 231H00000X | H-0366 (ND) |
| Audiologist primary | 231H00000X | 1137 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.