person
Ms. Shanna Lorraine Bicknase, ATC
Student in an Organized Health Care Education/Training Program in Fargo, North Dakota
NPI 1023158458

Shanna Lorraine Bicknase is a Student in an Organized Health Care Education/Training Program based in Fargo, ND. Shanna Lorraine Bicknase practices in Fargo, ND and has the professional credentials of ATC. The NPI Number for Shanna Lorraine Bicknase is 1023158458 and holds a License No. 308-06 (North Dakota).

The current practice location address for Shanna Lorraine Bicknase is 1301 12Th Ave N, Fargo, ND and can be reached out via phone at 701-231-8011. You can also correspond with Shanna Lorraine Bicknase through the mailing address at 4238 9TH AVE S APT 108, FARGO, ND - 58103-2068 (mailing address contact number: 605-201-6492).

Location: 1301 12Th Ave N, Fargo, ND, 58103-2068
person
Provider Profile Details
NPI Number
1023158458
Provider Name
Shanna Lorraine Bicknase
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1301 12Th Ave N, Fargo, ND, 58103-2068
Phone Number
701-231-8011
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 12Th Ave N
City
State
Zip
58102-3400
Phone Number
701-231-8011
Fax Number
person
Provider Business Mailing Address Details
Address
1301 12Th Ave N
City
State
Zip
58102-3400
Phone Number
701-231-8011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
308-06 (North Dakota)
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.
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