Andrew Cole Fiecke
Individual provider Active NPI Personal Care Attendant · Glencoe, MN
NPI 1154615235 · NPPES record last updated Jun 7, 2011
Key facts
- NPI
- 1154615235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 14907 125TH St
Glencoe, MN 55336-4613 - Phone
- (320) 864-6544
- NPI assigned
- Jun 6, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian in Home Health & Security, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
14907 125TH St
Glencoe, MN 55336-4613
Mailing address
14907 125TH St
Glencoe, MN 55336-4613
Phone (320) 864-6544
Other providers in Glencoe, MN
- Prasuna Gnana Dubagunta
- William John Dunbar
- Carol Jo Eggersgluess
- Pamela Jean Ellis
- Abby Marie Evans
- Forever Smiles, PLLC
- Curtis Floyd Forst
- Bryan James Fritsch
- Angela Rose Fruetel
- Lianna Kae Garceau
All providers in Glencoe, MN · Personal Care Attendant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. 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.