Amanda Brumfield

Individual provider Active NPI Registered Nurse · Mandan, ND

NPI 1336686906 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1336686906
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R28720 (ND)
Practice address
1200 Collins Ave
Mandan, ND 58554-2066
Phone
(701) 663-5373
NPI assigned
Jan 20, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R28720NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Home Care, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R28720 ND Yes

Addresses

Primary practice location

1200 Collins Ave
Mandan, ND 58554-2066

Mailing address

1200 Collins Ave
Mandan, ND 58554-2066
Phone (701) 663-5373

Other providers in Mandan, ND

All providers in Mandan, ND · Registered Nurse in North Dakota

Sources for this page

Verify at the official NPI Registry.