MS. SHANNA LORRAINE BICKNASE ATC
NPI 1023158458
Student in an Organized Health Care Education/Training Program in Fargo, ND

Active since February 07, 2007
1301 12TH AVE N, FARGO, ND 58102(701) 231-8011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Shanna Lorraine Bicknase Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANNA LORRAINE BICKNASE ATC (NPI 1023158458) is an individual student in an organized health care education/training program in Fargo, North Dakota, licensed in North Dakota (308-06) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1023158458
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. SHANNA LORRAINE BICKNASECredential: ATC
Location Address1301 12TH AVE NFargo, ND 58102-3400
Mailing Address4238 9th Ave S Apt 108Fargo, ND 58103-2068 · (605) 201-6492
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1023158458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in ND · 308-06
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1301 12TH AVE N, Fargo, ND 58102

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy
1301 12TH AVE N
FARGO, ND 58102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023158458, enumerated as an "individual" on February 07, 2007.

The provider is located at 1301 12TH AVE N FARGO, ND 58102 and the phone number is (701) 231-8011.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.