| Amanda Nack, | |
|
736 Broadway N, Fargo, ND 58102 | |
| (701) 234-2000 | |
| (701) 234-2345 |
| Full Name | Amanda Nack |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 736 Broadway N, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770058232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 970 (North Dakota) | Primary |
| Provider Name | Internal Medicine Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144313743 PECOS PAC ID: 8527027879 Enrollment ID: O20041004000768 |
| Provider Name | Sanford Medical Center Fargo |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Nack, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Amanda Nack, 736 Broadway N, Fargo, ND 58102 Ph: (701) 234-2000 |
Brad Kittelson, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-280-4474 | |
Alexis Ann Allen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1749 38th St S, Fargo, ND 58103 Phone: 701-417-6536 | |
Keiley Shae Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2970 Brandt Dr S Apt 214, Fargo, ND 58104 Phone: 701-212-6207 | |
Madeline Henke, RDN, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-301-1016 | |
Amy E Hieb, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Sarah M Tee, MPH RD LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1630 1st Ave N Ste B, Fargo, ND 58102 Phone: 630-439-4775 | |
Alycia Evenocheck, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 |