Materi, Jacqueline
Materi, Jacqueline is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Materi, Jacqueline can be contacted via phone (701) 530-7000.Contact Information
Primary practice address
900 E Broadway Ave
Bismarck ND 58501-4520
Phone: (701) 530-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R41683 | North Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R41683 | North Dakota |
Profile Details
NPI number | 1881088383 |
---|---|
LBN Legal business name | Materi, Jacqueline |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2015 |
Last updated | Jan 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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