Nygaard, Lynette Roth

Nygaard, Lynette Roth is an individual health care provider with primary practice located at 1301 15Th Ave W , Williston ND 58801-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nygaard, Lynette Roth can be contacted via phone (701) 774-7400.

Contact Information

Primary practice address
1301 15Th Ave W Williston ND 58801-3821
Phone: (701) 774-7400
Fax: (701) 774-7479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R17884 North Dakota

Profile Details

NPI number 1144255787
LBN Legal business name Nygaard, Lynette Roth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144255787 NPPES
North Dakota Other 3553 BLUE CROSS OF ND
North Dakota MEDICAID 4304043 BLUE CROSS OF ND
North Dakota MEDICAID 12693 BLUE CROSS OF ND

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