GAIL L WAAGEN


Address: 801 Broadway N, Fargo, ND 58102-3641
Phone: 7012345015

GAIL L WAAGEN (NPI# 1578584819) 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) 1578584819
Entity Type Individual
Full Name GAIL L WAAGEN
Credential CNS
Practice Address 801 Broadway N
Fargo
ND 58102-3641
Mailing Address Po Box 2168
Fargo
ND 58107-2168
Practice Telephone 7012345015
Practice Fax Number 7012347481
Mailing Telephone 7012342110
Enumeration Date 2006-07-22
Last Update Date 2012-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist R13529 ND Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND 70019 05

Office Location

Street Address 801 BROADWAY N
City FARGO
State ND
Zip Code 58102-3641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528062924 Mark F Fisher Radiology 801 Broadway N, Fargo, ND 58102-3641 2005-06-13
1942809652 Morgan Margaret Borud Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-10-22
1790392462 Katie Thielges Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-09-28
1063022432 Lindsey Schmidt Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-07-31
1336766161 Yesha Shukla Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-27
1891310850 Samantha Mimi Chang Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-15
1528683224 Briana Lee Gebert-oberle Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-06-09
1689296931 Jillian Virginia Schommer Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-05-09
1194344036 Sarah Rose Carpenter Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-04-10
1346871258 Randall Hagemeister Nurse Anesthetist, Certified Registered 801 Broadway N, Fargo, ND 58102-3641 2020-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487022885 John Roll Clinical Nurse Specialist 820 4th St N, Fargo, ND 58102-4539 2015-09-02
1730413238 Beth R Ashmore Clinical Nurse Specialist 801 Broadway N, Fargo, ND 58102-3641 2009-09-30
1346262912 Deborah B Roerig Clinical Nurse Specialist 1717 University Dr S, Fargo, ND 58103-4939 2006-07-24
1184642753 Lucy M Johnson Clinical Nurse Specialist 100 4th St S, Fargo, ND 58103-1929 2006-07-18
1265473482 Patricia Kay Freitag Clinical Nurse Specialist 2101 Elm St N, Fargo, ND 58102-2417 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093835472 Mary Louise Riske Clinical Nurse Specialist 501 Columbia Rd., Stop 9037, Grand Forks, ND 58202-9037 2007-03-30
1427070002 Nancy Joyner Clinical Nurse Specialist 702 Belmont Rd, Grand Forks, ND 58201-4910 2006-07-24
1598072035 Kiley R Andreas Clinical Nurse Specialist 407 3rd St Se, Minot, ND 58701-4470 2010-09-03
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
1477627867 Deborah Townsend Clinical Nurse Specialist 1900-8th Ave. Se, Minot, ND 58701 2006-11-20
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
1518906437 Desiree Joanne Gagner-tjellesen Clinical Nurse Specialist 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 2006-06-06
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Competitor

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City FARGO
Zip Code 58102

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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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