Monica Gail Broten

Individual provider Active NPI Attendant Care Provider · Princeton, MN

NPI 1053962530 · NPPES record last updated Sep 25, 2019

Key facts

NPI
1053962530
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
30840 Tiger Street NW
Princeton, MN 55371
Phone
(763) 389-7841
NPI assigned
Sep 25, 2019
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)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

30840 Tiger Street NW
Princeton, MN 55371

Mailing address

30840 Tiger Street NW
Princeton, MN 55371
Phone (763) 389-7841

Other names

  • Monica Gail Triebenbach Former name

Other providers in Princeton, MN

All providers in Princeton, MN · Attendant Care Provider in Minnesota

Sources for this page

Verify at the official NPI Registry.