MS. CAROL SUE MOEN


Address: 524 4th Ave Ne, Unit 9, Devils Lake, ND 58301-2490
Phone: 7016627046

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 524 4TH AVE NE
UNIT 9
City DEVILS LAKE
State ND
Zip Code 58301-2490

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City DEVILS LAKE
Zip Code 58301

Improve Information

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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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