Lynn Annette Trevino

Individual provider Active NPI Personal Care Attendant · Killdeer, ND

NPI 1639764632 · NPPES record last updated Mar 2, 2021

Key facts

NPI
1639764632
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
39 3Rd Ave NW
Killdeer, ND 58640
Phone
(701) 260-1753
NPI assigned
Mar 2, 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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

39 3Rd Ave NW
Killdeer, ND 58640

Mailing address

PO Box 692
Killdeer, ND 58640-0692
Phone (701) 260-1753

Other providers in Killdeer, ND

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

Sources for this page

Verify at the official NPI Registry.