Wellformed AI

NPI 1508460122 · live from the CMS NPI Registry

Rachel Elizabeth Bakken, CDCES

Registered Nurse, Diabetes Educator in Fargo, ND. National Provider Identifier 1508460122, active.

NPI record

NPI1508460122 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Diabetes Educator 163WD0400X
Practice location5225 23rd Ave S, Fargo, ND 58104
Practice phone701-417-2540
EnumeratedNovember 24, 2020
Last updatedNovember 24, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, Diabetes Educator primary163WD0400X22200248 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.