Provider Demographics
NPI:1497786149
Name:CARVER, LINDA D (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:CARVER
Suffix:
Gender:F
Credentials:CNM
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 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR23359367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDHP25727OtherHEALTHPARTNERS #
ND0701561OtherMEDICA #
ND30921OtherSIOUX VALLEY #
ND4694OtherNDBS #
ND9L648CAOtherMNBS #
NDDA9011015521OtherPREFERRED ONE #
NDND200080OtherLHS #
ND142327OtherUCARE #
ND19522Medicaid
ND73D22CAOtherMNBS #
ND680153OtherMEDICA #
ND0701562OtherMEDICA #
NDHP25727OtherHEALTHPARTNERS #
ND9L648CAOtherMNBS #
ND680153OtherMEDICA #
NDR02163Medicare UPIN