Roseanna Lea Durnell

Individual provider Active NPI Personal Care Attendant · Canton, TX

NPI 1184196404 · NPPES record last updated Dec 27, 2018

Key facts

NPI
1184196404
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
12417 FM 1651
Canton, TX 75103-4023
Phone
(615) 956-3920
NPI assigned
Dec 27, 2018
Sex
Female
Sole proprietor
No

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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

12417 FM 1651
Canton, TX 75103-4023

Mailing address

12417 FM 1651
Canton, TX 75103-4023

Other providers in Canton, TX

All providers in Canton, TX · Personal Care Attendant in Texas

Sources for this page

Verify at the official NPI Registry.