Provider Demographics
NPI:1275509077
Name:NARUM, BARBI (LRD)
Entity Type:Individual
Prefix:
First Name:BARBI
Middle Name:
Last Name:NARUM
Suffix:
Gender:F
Credentials:LRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX C
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:ND
Mailing Address - Zip Code:58623-0009
Mailing Address - Country:US
Mailing Address - Phone:701-523-3226
Mailing Address - Fax:701-523-7107
Practice Address - Street 1:12 6TH AVE SW
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:ND
Practice Address - Zip Code:58623-4518
Practice Address - Country:US
Practice Address - Phone:701-523-3226
Practice Address - Fax:701-523-7107
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND833582133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND22891OtherDIETICIAN
ND23301Medicare ID - Type UnspecifiedDIETICIAN