Brenda Tate

Individual provider Active NPI Driver · Devils Lake, ND

NPI 1407775810 · NPPES record last updated Jul 11, 2026

Key facts

NPI
1407775810
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
502 12TH Ave SE Lot 7
Devils Lake, ND 58301-3810
Phone
(701) 403-6051
NPI assigned
Jul 11, 2026
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
Driver 172A00000X Yes

Addresses

Primary practice location

502 12TH Ave SE Lot 7
Devils Lake, ND 58301-3810

Mailing address

502 12TH Ave SE Lot 7
Devils Lake, ND 58301-3810

Other providers in Devils Lake, ND

All providers in Devils Lake, ND · Driver in North Dakota

Sources for this page

Verify at the official NPI Registry.