Judith Bouzid
Individual provider Active NPI Licensed Practical Nurse · Mandan, ND
NPI 1356734255 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1356734255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L14577 (ND)
- Practice address
- 1200 Collins Ave
Mandan, ND 58554-2066 - Phone
- (701) 663-5373
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L14577 | ND | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Home Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L14577 | ND | Yes |
Addresses
Primary practice location
1200 Collins Ave
Mandan, ND 58554-2066
Mailing address
1200 Collins Ave
Mandan, ND 58554-2066
Other providers in Mandan, ND
- Michelle Bohn
- Tracie Lajuan Bollinger
- Donna Bolme
- Trevor M Bolme
- Laura Boucher
- Michele Boyer
- Natasha Braaten
- Leah Nicole Brady
- Margie Braudrick
- Jericka Jane Brendel
All providers in Mandan, ND · Licensed Practical Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. 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.