MS. CAROL SUE MOEN (NPI# 1619939006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619939006 |
Entity Type | Individual |
Full Name | MS. CAROL SUE MOEN |
Credential | NURSE PRACTITIONER |
Practice Address |
524 4th Ave Ne Unit 9 Devils Lake ND 58301-2490 |
Mailing Address |
5312 118th Ave Ne Michigan ND 58259-9452 |
Practice Telephone | 7016627046 |
Mailing Telephone | 7012592339 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R20055 | ND | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
524 4TH AVE NE UNIT 9 |
City | DEVILS LAKE |
State | ND |
Zip Code | 58301-2490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144609710 | Ramsey County Government | Case Management | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2015-05-28 |
1417344995 | Christen Olson | Social Worker | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2015-04-22 |
1558758037 | Dianna Skold | Social Worker | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2015-04-22 |
1396132882 | Kristi Hoistad | Social Worker | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2015-04-22 |
1942697545 | Christine Stiven | Social Worker | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2015-04-21 |
1720151913 | Amber Marie Duey | Counselor | 524 4th Ave Ne, Unit 19, Devils Lake, ND 58301-2490 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
Find all providers in zip 58301 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691645 | Crystal Lynn Lesmeister | Nurse Practitioner | 110 W Broadway Ste 101, Williston, ND 58801-6056 | 2020-08-29 |
1255448668 | Cheryl A. Hefta | Nurse Practitioner | 416 2nd Ave N, Fort Totten, ND 58335 | 2006-08-23 |
1598772345 | Renai D Ehrichs | Nurse Practitioner | 2101 Elm Street, Fargo, ND 58102 | 2006-08-02 |
1154319911 | Gail Rae Halverson | Nurse Practitioner | 360 Division Ave, Suite 200, Grand Forks, ND 58201-4702 | 2005-10-06 |
1386280261 | Canopy Medical Clinic, Pllc | Nurse Practitioner | 100 4th St S, Fargo, ND 58103-1929 | 2019-11-26 |
1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
1629533724 | Alexa Marie Volesky | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103 | 2019-02-04 |
1891265757 | Carissa Abigail Monique Lawrence | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-12-04 |
1730535386 | Ashley A Ruesink | Nurse Practitioner | 801 Broadway N, Fargo, ND 58102-3641 | 2016-05-12 |
1063822062 | Amanda Swanson | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2014-04-30 |
Find all providers with the same taxonomy |
City | DEVILS LAKE |
Zip Code | 58301 |
Please comment or provide details below to improve the information on MS. CAROL SUE MOEN.
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.