Metelmann, Stacie L

Metelmann, Stacie L is an individual health care provider with primary practice located at 1000 South Columbia Road , Grand Forks ND 58206-6002. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Metelmann, Stacie L can be contacted via phone (701) 780-5340.

Contact Information

Primary practice address
1000 South Columbia Road Grand Forks ND 58206-6002
Phone: (701) 780-5340
Fax: (701) 780-1942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RNR19204 North Dakota
Nursing Service Providers / Diabetes Educator 163WD0400X RNR1499555 Minnesota

Profile Details

NPI number 1962605162
LBN Legal business name Metelmann, Stacie L
Credentials RN CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962605162 NPPES
Other 22220347 NATIONAL

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