Basic Information
| Provider Information | |||||||||
| NPI: | 1497786149 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARVER | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6001 | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581086001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013643300 | ||||||||
| FaxNumber: | 7013648906 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 32ND AVE S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581036132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7013648000 | ||||||||
| FaxNumber: | 7013648078 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 08/17/2011 | ||||||||
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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 | 367A00000X | R23359 | ND | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | HP25727 | 01 | ND | HEALTHPARTNERS # | OTHER | 0701561 | 01 | ND | MEDICA # | OTHER | 30921 | 01 | ND | SIOUX VALLEY # | OTHER | 4694 | 01 | ND | NDBS # | OTHER | 9L648CA | 01 | ND | MNBS # | OTHER | DA9011015521 | 01 | ND | PREFERRED ONE # | OTHER | ND200080 | 01 | ND | LHS # | OTHER | 142327 | 01 | ND | UCARE # | OTHER | 19522 | 05 | ND | MEDICAID | 73D22CA | 01 | ND | MNBS # | OTHER | 680153 | 01 | ND | MEDICA # | OTHER | 0701562 | 01 | ND | MEDICA # | OTHER |