Heather L Erickson-Wold, BA

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

NPI 1962835546 · NPPES record last updated Aug 19, 2013

Key facts

NPI
1962835546
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone
(701) 857-8500
Fax
(701) 857-8555
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

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

Addresses

Primary practice location

1015 S Broadway
Suite 18
Minot, ND 58701-4667

Mailing address

1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500

Other providers in Minot, ND

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

Sources for this page

Verify at the official NPI Registry.