NPI 1467406652 · live from the CMS NPI Registry
Susan Matthiesen
Audiologist in Jamestown, ND. National Provider Identifier 1467406652, active.
NPI record
| NPI | 1467406652 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2422 20th St Sw, Jamestown, ND 58401 |
| Practice phone | 701-252-1050 |
| Enumerated | May 20, 2006 |
| Last updated | August 5, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 500 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.