Individual provider · Type 1 NPI

Gina Renae Mathiason, NP-C

Nurse Practitioner · Grand Forks, ND

NPI number 1730789900 Active

Practice location

Altru Cancer Center, 960 S Columbia Road
Grand Forks, ND 58201

Mailing address

PO Box 13780
Grand Forks, ND 58208

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN239823 (GA)
Nurse Practitioner Primary 363L00000X201308 (ND)

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…

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About NPI 1730789900

Gina Renae Mathiason, NP-C's National Provider Identifier is 1730789900, issued on Oct 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 7, 2025.