Patricia Ellan Haugen
Technician, Personal Care Attendant in Berthold, ND. Individual provider (NPI-1).
NPI number1932829249
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1932829249
- Entity type
- Individual (NPI-1)
- Name
- Patricia Ellan Haugen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
26601 54th Ave Sw # NaBerthold, ND 58718-9189
Phone 701-240-6137
Mailing address
26601 54th Ave SwBerthold, ND 58718-9189
Phone 701-240-6137
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