Provider Demographics
NPI:1871520114
Name:FRISK, CARI L (AUD)
Entity type:Individual
Prefix:
First Name:CARI
Middle Name:L
Last Name:FRISK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CARI
Other - Middle Name:L
Other - Last Name:MOVCHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:1702 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4940
Practice Address - Country:US
Practice Address - Phone:701-364-3300
Practice Address - Fax:701-364-8906
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND776231H00000X
MN7360231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND059H3MOOtherMNBS #
MN21151OtherNDBS #
ND49G45MOOtherMNBS #
ND640004325OtherRAILROAD
NDND200220OtherLHS #
ND1344496OtherAMERICA'S PPO/ARAZ #
ND4500100OtherMEDICA #
NDDA9011046495OtherPREFERRED ONE #
ND103180OtherUCARE #
ND20611OtherNDBS #
ND26549OtherNDBS #
ND4500548OtherMEDICA #
MN49G14MOOtherMNBS #
ND51953Medicaid
MN640000121OtherMN MEDICARE #
NDHP32805OtherHEALTHPARTNERS #
ND51953Medicaid
ND640004325OtherRAILROAD
ND103180OtherUCARE #
ND4500100OtherMEDICA #
ND4500548OtherMEDICA #