Madisyn Zahradka-Peterson

Individual provider Active NPI Case Manager/Care Coordinator · Fargo, ND

NPI 1497496277 · NPPES record last updated Oct 4, 2024

Key facts

NPI
1497496277
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone
(701) 280-9545
NPI assigned
Apr 5, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356

Mailing address

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356
Phone (701) 280-9545

Other providers in Fargo, ND

All providers in Fargo, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.