Rose M Enney, RN

Individual provider Active NPI Personal Care Attendant · Minot, ND

NPI 1619639374 · NPPES record last updated Oct 11, 2021

Key facts

NPI
1619639374
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
5500 County Road 15 W
Minot, ND 58703-8617
Phone
(701) 509-1710
NPI assigned
Oct 11, 2021
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
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X ND Yes

Addresses

Primary practice location

5500 County Road 15 W
Minot, ND 58703-8617

Mailing address

5500 County Road 15 W
Minot, ND 58703-8617
Phone (701) 509-1710

Other names

  • Rose Stavem Former name

Other providers in Minot, ND

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

Sources for this page

Verify at the official NPI Registry.