CAROL SOUTHAM
Registered Nurse
Active
Individual
NPI: 1124486691
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | R36610 (ND) |
Frequently Asked Questions
NPI 1124486691 is the National Provider Identifier for CAROL SOUTHAM, a Registered Nurse provider located in Mandan, ND. This NPI was enumerated on January 29, 2016.
CAROL SOUTHAM practices at 1200 COLLINS AVE, Mandan, ND 58554.
Quick Facts
- NPI
- 1124486691
- Type
- Individual
- Enumerated
- Jan 29, 2016
- Last Updated
- Jan 29, 2016
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