NPI 1023158458

Shanna Lorraine Bicknase, ATC

Practitioner Student in an Organized Health Care Education/Training Program Fargo, ND

Practice location

Address: 1301 12th Ave N, Fargo, ND 58102-3400
Phone: (701) 231-8011
Mailing address: 4238 9th Ave S APT 108, Fargo, ND 58103-2068

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X Licence 308-06 (ND)

Other Student in an Organized Health Care Education/Training Program providers in North Dakota →

Registry record

NPI: 1023158458
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.