Provider Demographics
NPI:1861429870
Name:BIRGER, C. JUDITH (CNS)
Entity type:Individual
Prefix:
First Name:C.
Middle Name:JUDITH
Last Name:BIRGER
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 3RD ST NW
Mailing Address - Street 2:PO BOX 2055
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-2968
Mailing Address - Country:US
Mailing Address - Phone:701-253-6402
Mailing Address - Fax:701-253-6400
Practice Address - Street 1:520 3RD ST NW
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-2968
Practice Address - Country:US
Practice Address - Phone:701-253-6402
Practice Address - Fax:701-253-6400
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR19057364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND890000545OtherRAILROAD MEDICARE
ND018556OtherBCBS PROVIDER NUMBER
NDS37422Medicare UPIN
ND018556OtherBCBS PROVIDER NUMBER