Shelly Jo Pross
Individual provider Active NPI Personal Care Attendant · Velva, ND
NPI 1104422609 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1104422609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 505 Truax Ave W
Velva, ND 58790-0337 - Phone
- (701) 340-2165
- NPI assigned
- Dec 9, 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
505 Truax Ave W
Velva, ND 58790-0337
Mailing address
PO Box 337
Velva, ND 58790-0337
Phone (701) 340-2165
Other providers in Velva, ND
- Kendra L Larsen
- Deanna Rae Mascol
- Marc Miller
- Nicole Wilson Aprn Pmhnp-BC PLLC
- Nicole Petersen
- Souris Valley Care Center
- Souris Valley Care Center, Inc.
- Bonnie Jean Thom
- Kim A Thorson
- Velva Ambulance Service Inc.
All providers in Velva, 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 Dec 9, 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.