Mrs. Shauna R Nelson
Occupational Therapist
1711 Gold Dr S Ste 120
Fargo
, North Dakota 58103-6416
Mrs. Shauna R Nelson
Occupational Therapist
1711 Gold Dr S Ste 120
Fargo
, North Dakota 58103-6416
(017) 451-9417
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Shauna R Nelson
- 4450 31st Ave S Ste 104
- Fargo, ND
- Zip : 58104-4557
- Phone : (017) 451-9417
Second Address
- Mrs. Shauna R Nelson
- 1711 Gold Dr S Ste 120
- Fargo, ND
- Zip : 58103-6416
- Phone : (701) 451-9417
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Is Mrs. Shauna R Nelson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 453 | ND |
National Provider Identifier
| NPI | 1003393000 |
|---|---|
| Provider Name | Mrs. Shauna R Nelson |
| First Address | Fargo, ND 58104-4557 |
| Second Address | Fargo, ND 58103-6416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/07/2018 |
| Last Update Date | 02/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3482838934 | (05) | 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.