Individual provider · Type 1 NPI

Shanna Lorraine Bicknase, ATC

Student in an Organized Health Care Education/Training Program · Fargo, ND

NPI number 1023158458 Active

Practice location

1301 12th Ave N
Fargo, ND 58102-3400

Call (701) 231-8011 Map

Mailing address

4238 9th Ave S Apt 108
Fargo, ND 58103-2068

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X308-06 (ND)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023158458

Shanna Lorraine Bicknase, ATC's National Provider Identifier is 1023158458, issued on Feb 7, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fargo, ND. The record was last updated on Jul 8, 2007.