NPI 1790288025 · live from the CMS NPI Registry
Mikisha Longie, RN
Registered Nurse, General Practice in Belcourt, ND. National Provider Identifier 1790288025, active.
NPI record
| NPI | 1790288025 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1300 Hospital Loop, Belcourt, ND 58316 |
| Practice phone | 701-477-6111 |
| Mailing address | Po Box 160, Belcourt, ND 58316 |
| Enumerated | March 13, 2018 |
| Last updated | March 13, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R31731 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.