Provider Demographics
NPI:1447026000
Name:NENDE, FRIDA HORTENCE (RN)
Entity type:Individual
Prefix:
First Name:FRIDA HORTENCE
Middle Name:
Last Name:NENDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:FRIDA HORTENCE
Other - Middle Name:
Other - Last Name:NGO HONBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3809 AMARI LOOP NW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-1194
Mailing Address - Country:US
Mailing Address - Phone:202-817-1654
Mailing Address - Fax:
Practice Address - Street 1:3809 AMARI LOOP NW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-1194
Practice Address - Country:US
Practice Address - Phone:202-817-1654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR54672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse