| Stacie Cleveland, FNP-C | |
|
367 2nd St Nw, Valley City, ND 58072-2971 | |
| (701) 845-6550 | |
| Not Available |
| Full Name | Stacie Cleveland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 367 2nd St Nw, Valley City, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689398505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R31130 (North Dakota) | Primary |
| Entity Name | Chi Health Connect At Home-fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790377448 PECOS PAC ID: 4789870924 Enrollment ID: O20210421001810 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Cleveland, FNP-C 367 2nd St Nw, Valley City, ND 58072-2971 Ph: (701) 845-6550 | Stacie Cleveland, FNP-C 367 2nd St Nw, Valley City, ND 58072-2971 Ph: (701) 845-6550 |
Teresa D Formo, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 | |
Kari Marie Kietzman, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 | |
Sarah Ellen Hansen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 4th Ave Ne, Valley City, ND 58072 Phone: 701-845-8060 | |
Trent William Bitz, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 4th Ave Ne, Valley City, ND 58072 Phone: 701-845-8060 | |
Leah Kathryn Swenson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 4th Ave Ne, Valley City, ND 58072 Phone: 701-845-8060 Fax: 701-845-8067 | |
Dr. Joann Delane Trader, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |