MS. GAIL RAE HALVERSON N.P. NPI 1154319911

NPI Information

NPI: 1154319911
Provider Name: MS. GAIL RAE HALVERSON, N.P.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
360 DIVISION AVE
SUITE 200
GRAND FORKS, ND
ZIP 58201
Phone: (701) 775-4251
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MS. Gail Rae Halverson, N.P. is a women's health nurse practitioner in Grand Forks, ND with 25 years of experience. MS. Gail Rae Halverson, N.P. NPI is 1154319911. 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:

360 DIVISION AVE
SUITE 200
GRAND FORKS, ND
ZIP 58201-702
Phone: (701) 775-4251
Fax: (701) 775-3691

The NPI 1154319911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 8/26/2015.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R118302-3	MINNESOTA	No
2	363LW0102X	Nurse Practitioner	Women's Health	R29615	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	53595	MEDICAID	NORTH DAKOTA

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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