Carl Nystrom
Technician, Personal Care Attendant in Elko, NV. Individual provider (NPI-1).
NPI number1861998015
StatusActive
Last updated in NPPESApr 4, 2018
Details
- NPI
- 1861998015
- Entity type
- Individual (NPI-1)
- Name
- Carl Nystrom
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2018
- Last updated
- Apr 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
405 Idaho St Ste 215Elko, NV 89801-3753
Phone 775-778-9960
Mailing address
405 Idaho St Ste 215Elko, NV 89801-3753
Phone 775-778-9960
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All 115 Personal Care Attendant providers in Elko · All 959 providers in Elko
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