Doctor Name: | MR. JEFFREY WARREN HJELSETH |
NPI Number: | 1073732939 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | R23536 |
Business Practice Address: | 17800 Camp Williams Rd Riverton, UT - 840654905 |
Business Phone Number: | 8018785857 |
Business Fax Number: | 8018785560 |
Mailing Address: | 1505 Lewis Blvd, GRAND FORKS |
State: | ND |
Postal Code: | 582031636 |
Phone Number: | 7017404896 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | R23536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |