Bethann Marie Nuelle
Nurse Practitioner
4700 S Washington St
Grand Forks
, North Dakota 58201-8123
Bethann Marie Nuelle
Nurse Practitioner
4700 S Washington St
Grand Forks
, North Dakota 58201-8123
(701) 757-2559
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Bethann Marie Nuelle
- 4700 S Washington St
- Grand Forks, ND
- Zip : 58201-8123
- Phone : (701) 757-2559
Second Address
- Bethann Marie Nuelle
- 4700 S Washington St
- Grand Forks, ND
- Zip : 58201-8123
- Phone : (701) 757-2559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R25291 | ND |
National Provider Identifier
| NPI | 1003887076 |
|---|---|
| Provider Name | Bethann Marie Nuelle |
| First Address | Grand Forks, ND 58201-8123 |
| Second Address | Grand Forks, ND 58201-8123 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2006 |
| Last Update Date | 17/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 025553 | BCBS ND (01) | ND |
| 19831 | (05) | ND |
| 309S5NU | BCBS MN (01) | MN |
| 5613280001 | ADMINISTAR (01) | |
| P00263990 | RR MEDICARE (01) | |
| Q41571 | (02) | ND |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.