Elisha Lawrence Poulsen
Individual provider Active NPI Personal Care Attendant · Oberon, ND
NPI 1558050187 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1558050187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3137 64TH Ave NE
Oberon, ND 58357-9655 - Phone
- (701) 351-9278
- NPI assigned
- May 1, 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 | Yes |
Addresses
Primary practice location
3137 64TH Ave NE
Oberon, ND 58357-9655
Mailing address
3137 64TH Ave NE
Oberon, ND 58357-9655
Phone (701) 351-9278
Other providers in Oberon, ND
- Sarah Jane Demarce
- Danette Arlene Houle
- Jeanette Lavallie
- Shayna Ross
- Felicia Rae St Pierre
- Alanna Youngbird
All providers in Oberon, 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 May 1, 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.