KIMBERLY CRANDALL RN BSN CDE NPI 1013452655

NPI Information

NPI: 1013452655
Provider Name: KIMBERLY CRANDALL, RN, BSN, CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
2400 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 234-2245
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Kimberly Crandall, RN, BSN, CDE is a diabetes educator registered nurse in Fargo, ND. Kimberly Crandall, RN, BSN, CDE NPI is 1013452655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 32ND AVE S
FARGO, ND
ZIP 58103-800
Phone: (701) 234-2245
Fax: (701) 234-8717

The enumeration date for this NPI number is 1/5/2017 and was last updated on 1/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	R30152	NORTH DAKOTA	Yes
2	163WD0400X	Registered Nurse	Diabetes Educator	130719-7	MINNESOTA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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