Basic Information
| Provider Information | |||||||||
| NPI: | 1275984635 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABERLE | ||||||||
| FirstName: | CARLA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9905 76TH ST SE | ||||||||
| Address2: | |||||||||
| City: | LAMOURE | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584589052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7018834350 | ||||||||
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| Practice Location | |||||||||
| Address1: | 300 2ND AVE NE | ||||||||
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| City: | JAMESTOWN | ||||||||
| State: | ND | ||||||||
| PostalCode: | 584013373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7012516000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2016 | ||||||||
| LastUpdateDate: | 06/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | R29092 | ND | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.