Bernadette Marie Gotchie, RN, BSN,PHN,DON
Individual provider Active NPI Registered Nurse · Cass Lake, MN
NPI 1346549862 · NPPES record last updated Mar 23, 2011
Key facts
- NPI
- 1346549862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R170708-5 (MN)
- Practice address
- 115 6TH St NE
Cass Lake, MN 56633-3428 - Phone
- (218) 335-4500
- Fax
- (218) 335-4513
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R170708-5 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leech Lake Tribal Council | Past |
Accepting new patients | |
| Leech Lake Tribal Council | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R170708-5 | MN | Yes |
Addresses
Primary practice location
115 6TH St NE
Cass Lake, MN 56633-3428
Mailing address
115 6TH St NE
Cass Lake, MN 56633-3428
Phone (218) 335-4500
Other providers in Cass Lake, MN
- Constance B Fitzgerald-Kimmerle
- Carole Forseman
- Edward George Franckowiak
- Michael A Frazer
- Jeffery Allen Geiger
- Lindsay M Gray
- Megan Elizabeth Griffey
- Jadilyn Nguyen Grittner
- Amy J Hatcher
- Melinda Haubrich
All providers in Cass Lake, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.