Wardner, Susan

Wardner, Susan is an individual health care provider with primary practice located at 416 Kundert St , Turtle Lake ND 58575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wardner, Susan can be contacted via phone (701) 448-9225.

Contact Information

Primary practice address
416 Kundert St Turtle Lake ND 58575
Phone: (701) 448-9225
Fax: (701) 448-9224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R28550 North Dakota

Profile Details

NPI number 1235213695
LBN Legal business name Wardner, Susan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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 1235213695 NPPES
North Dakota Other 24011 BCBS
North Dakota Other 25018 BCBS
North Dakota Other 24014 BCBS
North Dakota MEDICAID 5907 BCBS
North Dakota Other 25017 BCBS
North Dakota MEDICAID 13704 BCBS
North Dakota MEDICAID 19783 BCBS
North Dakota MEDICAID 5904 BCBS

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