Breona Yeomans

Individual provider Active NPI Case Manager/Care Coordinator · Fargo, ND

NPI 1295553402 · NPPES record last updated Sep 27, 2024

Key facts

NPI
1295553402
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3523 45TH St S Ste 105
Fargo, ND 58104-8962
Phone
(701) 532-1447
NPI assigned
Sep 27, 2024
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3523 45TH St S Ste 105
Fargo, ND 58104-8962

Mailing address

4902 16TH Ave S Apt 101
Fargo, ND 58103-8943
Phone (213) 321-3930

Other providers in Fargo, ND

All providers in Fargo, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.