Ashley Souders, | |
430 Oxford St, Grand Forks, ND 58202-6092 | |
(701) 777-4174 | |
Not Available |
Full Name | Ashley Souders |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 430 Oxford St, Grand Forks, 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 |
---|---|---|---|
1063199479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R51326 (North Dakota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10032561 (Oregon) | Primary |
Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
Entity Name | Good Samaritan Hospital Corvallis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
Entity Name | Albany General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
Mailing Address | Practice Location Address |
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Ashley Souders, 734 Great Plains Ct, Grand Forks, ND 58201-7248 Ph: (727) 459-8625 | Ashley Souders, 430 Oxford St, Grand Forks, ND 58202-6092 Ph: (701) 777-4174 |
Scott B Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jennifer A Harrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Jessica Anne Bratrud, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Mrs. Liana Rae Madsen, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd., Grand Forks, ND 58201 Phone: 218-779-5669 | |
Carissa Ashlee Grabanski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Nathan Koland, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Timothy Richard Schmiedeberg, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 Fax: 701-780-1942 |