NPI 1962605162 · live from the CMS NPI Registry
Stacie L Metelmann, RN CDE
Registered Nurse, Diabetes Educator in Grand Forks, ND. National Provider Identifier 1962605162, active.
NPI record
| NPI | 1962605162 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1000 South Columbia Road, Grand Forks, ND 58206 |
| Practice phone | 701-780-5340 |
| Mailing address | Po Box 6002, Grand Forks, ND 58206 |
| Enumerated | June 6, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | RNR19204 (ND) |
| Registered Nurse, Diabetes Educator | 163WD0400X | RNR1499555 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.