NPI 1821612433 · live from the CMS NPI Registry
Hannah Marie Pavek, DNP, APRN, CPNP-PC
Nurse Practitioner, Pediatrics in Fargo, ND. National Provider Identifier 1821612433, active.
NPI record
| NPI | 1821612433 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 100 4th St S Ste 308, Fargo, ND 58103 |
| Practice phone | 701-367-2165 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | May 31, 2020 |
| Last updated | January 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | R42721 (ND) |
| Registered Nurse, Pediatrics | 163WP0200X | 2464309 (MN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R42721 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.