MS. MARY LOUISE RISKE (NPI# 1093835472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093835472 |
| Entity Type | Individual |
| Full Name | MS. MARY LOUISE RISKE |
| Credential | RN, CNS |
| Practice Address |
501 Columbia Rd. Stop 9037 Grand Forks ND 58202-9037 |
| Mailing Address |
2404 S 40th St Grand Forks ND 58201-5948 |
| Practice Telephone | 7017774243 |
| Mailing Telephone | 7017460375 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R18963 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 COLUMBIA RD. STOP 9037 |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58202-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1306836937 | Elizabeth Ann Tyree | Physician Assistant | 5th Avenue North and Harvard Streets, Grand Forks, ND 58202 | 2005-10-25 |
| 1962054171 | Zachery Tyler Staskywicz | Surgery | University of North Dakota Smhs Department of Surgery, 1301 North Columbia Road Stop 9037, Grand Forks, ND 58202 | 2019-07-09 |
| 1013390129 | Seye Adekeye | Surgery | 501 N Columbia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202 | 2015-07-07 |
| 1477894285 | Eva Michelle Beeker | Counselor | Mccannel Hall Room 200, 2891 2nd Ave N Stop 9042, Grand Forks, ND 58202-0798 | 2013-03-05 |
| 1821509274 | Anv Services LLC | Clinic/Center | 4201 James Ray Dr, Grand Forks, ND 58202-6026 | 2017-10-12 |
| 1558759308 | Mayumi Ogino | Specialist/Technologist | 2751 2nd Ave N Rm 115, Mail Stop 9013, Grand Forks, ND 58202-6060 | 2015-01-02 |
| 1255732988 | Alicia Champagne | Specialist/Technologist | 2751 2nd Ave N, Stop 9013, Grand Forks, ND 58202-6060 | 2014-09-12 |
| 1235764432 | Mikala Jo Springer | Student in an Organized Health Care Education/Training Program | 2751 2nd Ave N, Grand Forks, ND 58202-6060 | 2020-03-08 |
| 1790341972 | Katelynn Marie Kostelecky | Physical Therapist | 2751 2nd Ave N Rm 115, Grand Forks, ND 58202-6060 | 2019-05-14 |
| Find all providers in zip 58202 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427070002 | Nancy Joyner | Clinical Nurse Specialist | 702 Belmont Rd, Grand Forks, ND 58201-4910 | 2006-07-24 |
| 1346417508 | Kris Elaine Stellon | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-15 |
| 1386811842 | Jeanine Louise Senti | Clinical Nurse Specialist | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2008-05-14 |
| 1760659833 | Cheryl Ann Stauffenecker | Clinical Nurse Specialist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-05-08 |
| 1518906437 | Desiree Joanne Gagner-tjellesen | Clinical Nurse Specialist | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1598072035 | Kiley R Andreas | Clinical Nurse Specialist | 407 3rd St Se, Minot, ND 58701-4470 | 2010-09-03 |
| 1730413238 | Beth R Ashmore | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2009-09-30 |
| 1477627867 | Deborah Townsend | Clinical Nurse Specialist | 1900-8th Ave. Se, Minot, ND 58701 | 2006-11-20 |
| 1346262912 | Deborah B Roerig | Clinical Nurse Specialist | 1717 University Dr S, Fargo, ND 58103-4939 | 2006-07-24 |
| 1578584819 | Gail L Waagen | Clinical Nurse Specialist | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-22 |
| 1184642753 | Lucy M Johnson | Clinical Nurse Specialist | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| 1861429870 | C. Judith Birger | Clinical Nurse Specialist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-06-26 |
| 1598791618 | Zane N Zuleger | Clinical Nurse Specialist | 307 5th Ave Se, Suite 502, Minot, ND 58701-4784 | 2006-06-23 |
| 1265473482 | Patricia Kay Freitag | Clinical Nurse Specialist | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58202 |
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| 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.