Provider Demographics
NPI:1831666197
Name:GIRAMATA, JOSEPH (APRN)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:GIRAMATA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:WISHEK
Mailing Address - State:ND
Mailing Address - Zip Code:58495-7527
Mailing Address - Country:US
Mailing Address - Phone:701-452-2326
Mailing Address - Fax:
Practice Address - Street 1:1007 4TH AVE S
Practice Address - Street 2:
Practice Address - City:WISHEK
Practice Address - State:ND
Practice Address - Zip Code:58495-7527
Practice Address - Country:US
Practice Address - Phone:701-452-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR46893363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily