Beverly Briscoe
Individual provider Active NPI Personal Care Attendant · Kenmare, ND
NPI 1033710413 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1033710413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 711 1St Ave NE
Kenmare, ND 58746-7502 - Phone
- (701) 385-4400
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
711 1St Ave NE
Kenmare, ND 58746-7502
Mailing address
711 1St Ave NE
Kenmare, ND 58746-7502
Phone (701) 385-4400
Other providers in Kenmare, ND
- American Baptist Homes of the Midwest
- Lori Ann Barton
- Shelley Marie Bartow
- Sarah Brandt
- Sheila Diane Bullock
- Brandy Lynn Childress
- Lindsey Mariah Clark
- David Paul Colby
- Compass Health Inc
All providers in Kenmare, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.