Provider Demographics
NPI:1376250258
Name:DAHLQUIST, CARIANN MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CARIANN
Middle Name:MARIE
Last Name:DAHLQUIST
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 S COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4059
Mailing Address - Country:US
Mailing Address - Phone:701-780-6031
Mailing Address - Fax:701-780-6064
Practice Address - Street 1:4401 S 11TH ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-7238
Practice Address - Country:US
Practice Address - Phone:701-780-6031
Practice Address - Fax:701-780-6064
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR32547163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse