Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Nurse Practitioner · Bismarck, ND

NPI number 1528540317 Active

Practice location

301 Lorrain Dr
Bismarck, ND 58503-0311

Call (701) 255-1084 Map

Fax (701) 751-1342

Mailing address

4800 W 57th St
Sioux Falls, SD 57108-2239

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

Other nurse practitioner providers in Bismarck

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NPI record

NPI: 1528540317
Entity type: Organization (Type 2)
Issued: Aug 29, 2018
Last updated: Nov 25, 2020
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Augusta Place - A Prospera Community · doing business as

Authorized official

Eric Vanden Hull
Vice President, Finance
(605) 362-5510

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528540317

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1528540317, issued on Aug 29, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bismarck, ND. The record was last updated on Nov 25, 2020.