Gabrielle K Blaine, RD, LRD, CDE | |
2500 Fairway St, Dickinson, ND 58601-2639 | |
(701) 456-4000 | |
Not Available |
Full Name | Gabrielle K Blaine |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2500 Fairway St, Dickinson, 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 |
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1083187348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1184 (North Dakota) | Primary |
Provider Name | St. Joseph's Hospital And Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
Provider Name | St. Joseph's Hospital And Health Center |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1992947956 PECOS PAC ID: 0547177560 Enrollment ID: O20090429000122 |
Mailing Address | Practice Location Address |
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Gabrielle K Blaine, RD, LRD, CDE 2500 Fairway St, Dickinson, ND 58601-2639 Ph: (701) 456-4000 | Gabrielle K Blaine, RD, LRD, CDE 2500 Fairway St, Dickinson, ND 58601-2639 Ph: (701) 456-4000 |
Nancy Wahl, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1058 5th Ave W, Dickinson, ND 58601 Phone: 701-590-1215 | |
Mrs. Katie Nicole Klug, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2615 Fairway St, Dickinson, ND 58601 Phone: 701-456-6000 | |
Suzanne Bruels, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 | |
Amy Hillman, MPH,LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Darcy Stafford, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Alexis Helen Quammen, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4317 |