Provider Type Icon

MARC LESLIE ENGELBREKTSON C.R.N.A. NPI 1710006887


NPI Information

NPI: 1710006887
Provider Name: MARC LESLIE ENGELBREKTSON, C.R.N.A.
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Address:
2585 23RD AVE S
STE A.
FARGO, ND
ZIP 58103
Phone: (701) 478-4404
Get Directions

Marc Leslie Engelbrektson, C.R.N.A. is a nurse anesthetist certified registered in Fargo, ND. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Marc Leslie Engelbrektson, C.R.N.A. NPI is 1710006887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2585 23RD AVE S
STE A.
FARGO, ND
ZIP 58103
Phone: (701) 478-4404
Fax: (701) 478-4407

The enumeration date for this NPI number is 3/28/2007 and was last updated on 4/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered036098NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
124266OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
212355MEDICAIDNORTH DAKOTA
3488843000MEDICAIDMINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.