Beverly Ann Voller, RN

Individual provider Active NPI Community Health Registered Nurse · Linton, ND

NPI 1700328564 · NPPES record last updated Nov 10, 2016

Key facts

NPI
1700328564
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
R18866 (ND)
Practice address
118 E Spruce Ave
Linton, ND 58552-7104
Phone
(701) 254-4027
Fax
(701) 254-4057
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R18866NDMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emmons District Health Unit Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R18866 ND Yes

Addresses

Primary practice location

118 E Spruce Ave
Linton, ND 58552-7104

Mailing address

PO Box 636
118 E. Spruce Ave
Linton, ND 58552-0636
Phone (701) 254-4027

Other identifiers

IdentifierTypeStateIssuer
261QP0905XMedicaidND

Other providers in Linton, ND

All providers in Linton, ND · Community Health Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.