Haley Bass, IDMT

Individual provider Active NPI Independent Duty Medical Technicians · Minot, ND

NPI 1225855166 · NPPES record last updated Jan 30, 2025

Key facts

NPI
1225855166
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Medical Technicians 1710I1003X
Practice address
194 Missile Ave.
Minot, ND 58704
Phone
(701) 723-5195
NPI assigned
Sep 23, 2024
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
Independent Duty Medical Technicians 1710I1003X TX Yes

Addresses

Primary practice location

194 Missile Ave.
Minot, ND 58704

Mailing address

194 Missile Ave.
Minot, ND 58704

Other providers in Minot, ND

All providers in Minot, ND · Independent Duty Medical Technicians in North Dakota

Sources for this page

Verify at the official NPI Registry.