Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ansel White Eagle Jr.

Individual provider Peer Specialist · NPI 1740977867

Ansel White Eagle Jr. is a Peer Specialist in Bismarck, North Dakota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1308 Elbowood Ln
Bismarck, ND 58503-5712
Phone: (701) 751-8260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1740977867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023
Mailing address1308 Elbowood Ln, Bismarck, ND 58503-5712

Other providers in Bismarck