NPI 1578812459 · live from the CMS NPI Registry
Amy Lee Kester-Mabon, RN
Registered Nurse, College Health in Bottineau, ND. National Provider Identifier 1578812459, active.
NPI record
| NPI | 1578812459 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, College Health 163WC1400X |
| Practice location | 105 Simrall Blvd, Bottineau, ND 58318 |
| Practice phone | 701-228-5460 |
| Enumerated | September 6, 2012 |
| Last updated | September 6, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R33583 (ND) |
| Registered Nurse, College Health primary | 163WC1400X | R33583 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.