CARROLEE NOWACKI
NPI 1447061304
Registered Nurse - General Practice in Fargo, ND
Active since January 18, 2025
About Carrolee Nowacki NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARROLEE NOWACKI (NPI 1447061304) is an individual general practice provider in Fargo, North Dakota, licensed in North Dakota (R26609) and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1447061304
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameCARROLEE NOWACKI
Location Address2101 ELM ST NFargo, ND 58102-2417
Mailing Address305 Broadway N Apt 204Fargo, ND 58102-4767 · (651) 295-3087
Phone(701) 232-3241
Sole ProprietorNo
Enumeration DateJanuary 18, 2025
NPPES CertifiedJanuary 18, 2025
✔ NPI 1447061304 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in ND · R26609
2101 ELM ST N, Fargo, ND 58102
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447061304, enumerated as an "individual" on January 18, 2025.
The provider is located at 2101 ELM ST N FARGO, ND 58102 and the phone number is (701) 232-3241.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
