Provider Demographics
NPI:1275343022
Name:NORDQUIST, MARGARET (CHW CERTIFICATE)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NORDQUIST
Suffix:
Gender:F
Credentials:CHW CERTIFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 4TH ST NW STE 120
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-3155
Mailing Address - Country:US
Mailing Address - Phone:218-444-2718
Mailing Address - Fax:
Practice Address - Street 1:403 4TH ST NW STE 120
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-3155
Practice Address - Country:US
Practice Address - Phone:218-308-5970
Practice Address - Fax:218-444-8876
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker