Jenna Ann Rosenbaum, CNA
Individual provider Active NPI Personal Care Attendant · Fingal, ND
NPI 1407569783 · NPPES record last updated Jan 2, 2023
Key facts
- NPI
- 1407569783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 107 5TH Ave # 64
Fingal, ND 58031-4023 - Phone
- (701) 840-1736
- NPI assigned
- Jan 2, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | ND | Yes |
Addresses
Primary practice location
107 5TH Ave # 64
Fingal, ND 58031-4023
Mailing address
107 5TH Ave # 64
Fingal, ND 58031-4023
Phone (701) 840-1736
Other practice location 1
107 5th Ave # Po647
Fingal, ND 58031-4023
Phone (701) 840-1736
Other providers in Fingal, ND
All providers in Fingal, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2023. 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.