NPI 1386092203 · live from the CMS NPI Registry
Shasta Mandan, R.N., C.D.E.
Registered Nurse, Diabetes Educator in New Town, ND. National Provider Identifier 1386092203, active.
NPI record
| NPI | 1386092203 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1058 College Dr, New Town, ND 58763 |
| Practice phone | 701-627-7931 |
| Enumerated | June 1, 2016 |
| Last updated | June 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | R29464 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.