Provider Demographics
NPI:1922322742
Name:NAVICKAS, ARIAN (CPM)
Entity Type:Individual
Prefix:
First Name:ARIAN
Middle Name:
Last Name:NAVICKAS
Suffix:
Gender:F
Credentials:CPM
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 214
Mailing Address - Street 2:
Mailing Address - City:LANSFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58750-0214
Mailing Address - Country:US
Mailing Address - Phone:720-218-2333
Mailing Address - Fax:
Practice Address - Street 1:530 2ND AVE
Practice Address - Street 2:
Practice Address - City:LANSFORD
Practice Address - State:ND
Practice Address - Zip Code:58750-5011
Practice Address - Country:US
Practice Address - Phone:720-218-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND10030017175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay