JOAN LESLIE NYCKLEMOE-CONNELL PA-C
NPI 1477570943
Physician Assistant - Medical in Wahpeton, ND

Active since July 17, 2006
332 2ND AVE N, WAHPETON, ND 58075(701) 642-7000(701) 642-7055 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joan Leslie Nycklemoe-connell Pa-c NPPES

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

JOAN LESLIE NYCKLEMOE-CONNELL PA-C (NPI 1477570943) is an individual medical provider in Wahpeton, North Dakota, licensed in North Dakota (PAC0141) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1477570943
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJOAN LESLIE NYCKLEMOE-CONNELLCredential: PA-C
Location Address332 2ND AVE NWahpeton, ND 58075-4528
Mailing Address332 2nd Ave NWahpeton, ND 58075-4528 · (701) 642-7000 · Fax (701) 642-7055
Fax(701) 642-7055
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 15, 2008
NPI 1477570943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ND · PAC0141
332 2ND AVE N, Wahpeton, ND 58075

Other Identifiers 1

Medicare UPINR92468

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.

Specialist
332 2ND AVE N
WAHPETON, ND 58075
Registered Nurse (Diabetes Educator)
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Family Medicine
332 2ND AVE N
WAHPETON, ND 58075
Nurse Practitioner (Family)
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075
Optometrist
332 2ND AVE N
WAHPETON, ND 58075

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 Joan Nycklemoe-connell's NPI number?

The NPI number for Joan Nycklemoe-connell is 1477570943. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Joan Nycklemoe-connell located?

Joan Nycklemoe-connell practices at 332 2nd Ave N, Wahpeton, ND 58075. The listed phone number is (701) 642-7000.

What is Joan Nycklemoe-connell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Joan Nycklemoe-connell was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.