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MRS. GLENICE M CARLSON PAC
NPI 1134222797
Physician Assistant in Fargo, ND

Active since September 07, 2006
510 4TH ST S, PRAIRIE ST JOHNS, FARGO, ND 58103(701) 476-7239(701) 280-5798 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Glenice M Carlson Pac NPPES

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

MRS. GLENICE M CARLSON PAC (NPI 1134222797) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC0129) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1134222797
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. GLENICE M CARLSONCredential: PAC
Location Address510 4TH ST S, PRAIRIE ST JOHNSFargo, ND 58103
Mailing Address2320 124 Ave SHorace, ND 58047 · (701) 476-7239 · Fax (701) 280-5798
Phone(701) 476-7239
Fax(701) 280-5798
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1134222797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ND · PAC0129
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
510 4TH ST S, Fargo, ND 58103
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Other Identifiers 2

Medicare ID-Type Unspecified21470ND
Medicare UPINR92470

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIFF ELIZABETH PETERSON
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
ASHLEY BISHOP
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
DR. LAWANA MARIE BURTNETT M.D.
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
MARYN LYNNA YOUNG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
CHERYL MELBYE LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7240
CAMIE LYNN PFEIFER LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7876
WILLIAM D BRINK LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
EMILY AERAN MARISE METWALY RN
Registered Nurse
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenice Carlson's NPI number?

The NPI number for Glenice Carlson is 1134222797. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Glenice Carlson located?

Glenice Carlson practices at 510 4th St S Prairie St Johns, Fargo, ND 58103. The listed phone number is (701) 476-7239.

What is Glenice Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Glenice Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.