Provider Demographics
NPI:1811913379
Name:BIEL, ARDALIA S (PA-C)
Entity type:Individual
Prefix:
First Name:ARDALIA
Middle Name:S
Last Name:BIEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ARDALIA
Other - Middle Name:S
Other - Last Name:PRAUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:ND
Mailing Address - Zip Code:58552-0730
Mailing Address - Country:US
Mailing Address - Phone:701-254-4531
Mailing Address - Fax:701-254-5459
Practice Address - Street 1:511 ELM AVE
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:ND
Practice Address - Zip Code:58552-0730
Practice Address - Country:US
Practice Address - Phone:701-254-4531
Practice Address - Fax:701-254-5459
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPAC0197363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND18101OtherBCBS
15888Medicare ID - Type Unspecified
S58005Medicare UPIN