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 | 163WA0400X | Registered Nurse | Addiction (Substance Use Disorder) | R40879 | NORTH DAKOTA | No |
| 2 | 163WP0808X | Registered Nurse | Psychiatric/Mental Health | R40879 | NORTH DAKOTA | No |
| 3 | 163WA2000X | Registered Nurse | Administrator | R40879 | NORTH DAKOTA | Yes |
| 4 | 163WC0400X | Registered Nurse | Case Management | R40879 | NORTH DAKOTA | No |