Deborah L Bronson, RN,BSN,CDE

Individual provider Active NPI Diabetes Educator Registered Nurse · Williston, ND

NPI 1346745114 · NPPES record last updated Dec 26, 2019

Key facts

NPI
1346745114
Entity type
Individual (NPI type 1)
Primary specialty
Diabetes Educator Registered Nurse 163WD0400X
License
R25817 (ND)
Practice address
1301 15TH Ave W
Williston, ND 58801-3821
Phone
(701) 774-7400
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
R25817NDMDDiabetes Educator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R25817 ND
Diabetes Educator Registered Nurse 163WD0400X R25817 ND Yes

Addresses

Primary practice location

1301 15TH Ave W
Williston, ND 58801-3821

Mailing address

1301 15TH Ave W
Williston, ND 58801-3821

Other providers in Williston, ND

All providers in Williston, ND · Diabetes Educator Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.