BETHANN MARIE NUELLE


Address: 1300 South Columbia Road, Grand Forks, ND 58201
Phone: 7017805000

BETHANN MARIE NUELLE (NPI# 1003887076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003887076
Entity Type Individual
Full Name BETHANN MARIE NUELLE
Other Name BETHANN MARIE LAUF
Credential FNP-C
Practice Address 1300 South Columbia Road
Grand Forks
ND 58201
Mailing Address Po Box 6002
Grand Forks
ND 58201
Practice Telephone 7017805000
Practice Fax Number 7017570305
Mailing Telephone (701) 780-5000
Mailing Fax Number 7017570305
Enumeration Date 2006-01-30
Last Update Date 2017-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R25291 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE P00263990 01
MN BCBS MN 309S5NU 01
ND 19831 05
ND BCBS ND 025553 01
ADMINISTAR 5613280001 01

Office Location

Street Address 1300 SOUTH COLUMBIA ROAD
City GRAND FORKS
State ND
Zip Code 58201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073513982 Jonathon H Berg Family Medicine 1300 South Columbia Road, Grand Forks, ND 58201-4032 2005-07-21
1902244379 Megan J Christensen Anesthesiology 1300 South Columbia Road, Grand Forks, ND 58201 2013-06-07
1952746851 Bethany Joanne Beyer Gourneau Anesthesiology 1300 South Columbia Road, Grand Forks, ND 58201 2013-05-06
1841553427 James A Miles Pediatrics 1300 South Columbia Road, Grand Forks, ND 58201 2012-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
Find all providers in zip 58201

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710487004 Heather Snell Nurse Practitioner 1200 S Columbia Rd - Altru Behavioral Health, Grand Forks, ND 58201-0436 2018-02-13
1952767253 Sarah Traser Nurse Practitioner 4440 S Washington St: Altru Professional Center, Grand Forks, ND 58201-7245 2016-01-04
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
1396350591 Margot Estelle Miller Nurse Practitioner 4440 S. Washington St, Grand Forks, ND 58201 2020-09-14
1962049445 Daniel Lewis Kendall Nurse Practitioner 1300 S Columbia Rd., Grand Forks, ND 58201-4012 2019-12-04
1245889898 Total Skin Dermatology & Aesthetics Nurse Practitioner 4551 S Washington St, Grand Forks, ND 58201-3495 2019-09-06
1891357596 Caroline Emily Schroeder Nurse Practitioner 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201-4036 2019-07-02
1194386581 Marlie Borowicz Nurse Practitioner 1300 S Columbia Rd, Grand Forks, ND 58201-4012 2019-06-26
1881255503 Jenna Arnold Nurse Practitioner 1300 S Columbia Rd, Grand Forks, ND 58201-4012 2019-06-24
1083100036 Nicole Morgan Nurse Practitioner 4440 S Washington St, Grand Forks, ND 58201-7245 2018-07-02
Find all providers in GRAND FORKS

Competitor

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City GRAND FORKS
Zip Code 58201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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