Provider Demographics
NPI:1487741484
Name:HILDEBRANDT-FOLSKE, CARLA J (CRNA)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:J
Last Name:HILDEBRANDT-FOLSKE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:J
Other - Last Name:FOLSKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:106 E GREENFIELD LN
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6578
Mailing Address - Country:US
Mailing Address - Phone:701-354-4744
Mailing Address - Fax:701-222-8805
Practice Address - Street 1:106 E GREENFIELD LN
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-6578
Practice Address - Country:US
Practice Address - Phone:701-354-4744
Practice Address - Fax:701-323-3377
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR27481367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1462877Medicaid
ND1465209Medicaid
ND1465209Medicaid
19120OtherCHAMPUS
ND26825OtherBC/BS
ND19121OtherBOWMAN BC/BS
ND19122OtherNE BC/BS
33917OtherSIOUX VALLEY
P05374Medicare UPIN
ND13802Medicaid