MRS. MARY D WIERSMA (NPI# 1457543464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543464 |
| Entity Type | Individual |
| Full Name | MRS. MARY D WIERSMA |
| Credential | RN |
| Practice Address |
1200 S Columbia Rd Grand Forks ND 58206-6002 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017805000 |
| Practice Fax Number | 7017801942 |
| Mailing Telephone | 7017805000 |
| Mailing Fax Number | 7017801942 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
R-062311-5 | MN | Dietary & Nutritional Service Providers |
| Street Address |
1200 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58206-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252220 | Michael Stanley Schlegel | Emergency Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-02-07 |
| 1326669805 | Midwest Gastroenterology PC | Internal Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-05-06 |
| 1225660756 | Tyler Sand | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-12 |
| 1174155774 | Carissa Ashlee Grabanski | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-11 |
| 1215569652 | Casey Laine Pesch | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-02-04 |
| 1023648557 | Lindsey K Holter | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-01-23 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1790347268 | Courtney Naastad | Nurse Practitioner | 1200 S Columbia Rd, Grand Forks, ND 58201 | 2019-07-03 |
| 1679035182 | Dillon Meyer | Pharmacist | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-04-03 |
| 1114485315 | Altru 2018 LLC | Ambulance | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283298 | Brandi Jo Miller | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2010-08-20 |
| 1659569200 | Janet Lee | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58206 | 2007-10-09 |
| 1831389857 | Genevieve Marie Ziegler | Occupational Therapist | 1000 S Columbia Rd, Grand Forks, ND 58206 | 2007-07-26 |
| 1033493473 | Cheri Langei | Social Worker | 151 S. 4th St, Suite 201, Grand Forks, ND 58206-5196 | 2011-10-04 |
| 1255647657 | Todd James Galbreath | Pharmacist | 1200 So. Columbia Rd., Altru Retail Pharmacy, Grand Forks, ND 58206-6002 | 2010-08-23 |
| 1821236100 | Mariah Rose Dolan | Physical Therapist | 1000 South Columiba Rd, Grand Forks, ND 58206-6002 | 2009-01-26 |
| 1235334269 | Jordan James Wojnarski | Speech-Language Pathologist | 1300 Columbia Road S, Grand Forks, ND 58206-6002 | 2007-06-19 |
| 1669681425 | Sara Elizabeth Bjerke | Specialist/Technologist | 1300 S Columiba Rd, Grand Forks, ND 58206-6002 | 2007-05-21 |
| 1306065602 | Lindsey G Miskavige | Speech-Language Pathologist | 1200 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-04-25 |
| 1396836193 | Bernard Jerome Hoggarth | Pediatrics | 1000 S Columbia Road, Grand Forks, ND 58206-6002 | 2006-09-27 |
| Find all providers in zip 58206 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483415 | Roselle Martin | Nutritionist | 1058 College Dr, New Town, ND 58763-9112 | 2016-04-26 |
| 1780002139 | Amy Rebecca Fankhanel | Nutritionist | 801 Broadway N, Fargo, ND 58102 | 2014-04-02 |
| 1659795433 | Peggy Schaan | Nutritionist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2014-02-13 |
| 1720336753 | Julieanne M Walter | Nutritionist | 300 N 7th St, Bismarck, ND 58501-4439 | 2012-08-23 |
| 1447529060 | Ryan T Bosch | Nutritionist | 801 Broadway N, Fargo, ND 58102-3641 | 2011-12-28 |
| 1730462631 | Tammy Carol Branden | Nutritionist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2011-09-27 |
| 1902966831 | Peggy Dunnigan | Nutritionist | 909 2nd St, Langdon, ND 58249-2407 | 2006-12-11 |
| 1346330362 | Maysil M Malard | Nutritionist | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-13 |
| 1972691236 | Donna M Amundson | Nutritionist | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-11 |
| 1992893168 | Lyla J Timm | Nutritionist | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58206 |
Please comment or provide details below to improve the information on MRS. MARY D WIERSMA.
| 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.