Nona Jo Blaisdell

Individual provider Active NPI Personal Care Attendant · Beulah, ND

NPI 1487258349 · NPPES record last updated Nov 22, 2020

Key facts

NPI
1487258349
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1113 Chestnut LN
Beulah, ND 58523-6426
Phone
(701) 870-1243
NPI assigned
Nov 22, 2020
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
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1113 Chestnut LN
Beulah, ND 58523-6426

Mailing address

1113 Chestnut Lane
Pobox 703
Beulah, ND 58523
Phone (701) 870-1243

Other providers in Beulah, ND

All providers in Beulah, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.