SHASTA MANDAN R.N. C.D.E. NPI 1386092203

NPI Information

NPI: 1386092203
Provider Name: SHASTA MANDAN, R.N., C.D.E.
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1058 COLLEGE DR
NEW TOWN, ND
ZIP 58763
Phone: (701) 627-7931
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Shasta Mandan, R.N., C.D.E. is a diabetes educator registered nurse in New Town, ND. Shasta Mandan, R.N., C.D.E. NPI is 1386092203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1058 COLLEGE DR
NEW TOWN, ND
ZIP 58763-112
Phone: (701) 627-7931

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	R29464	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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