Lan Sivertson
Technician, Personal Care Attendant in Moorhead, MN. Individual provider (NPI-1).
NPI number1700533874
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1700533874
- Entity type
- Individual (NPI-1)
- Name
- Lan Sivertson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2022
- Certification date
- Mar 8, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1817 16th Ave SMoorhead, MN 56560-4702
Phone 218-790-4374
Mailing address
1817 16th Ave SMoorhead, MN 56560-4702
Phone 218-790-4374
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All 11 Personal Care Attendant providers in Moorhead · All 1,308 providers in Moorhead
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