Holli Joelle Kronberg
Individual provider Active NPI Personal Care Attendant · Forbes, ND
NPI 1669109625 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1669109625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 25 Clark St
Forbes, ND 58439-9132 - Phone
- (701) 357-8581
- NPI assigned
- Aug 1, 2022
- 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
25 Clark St
Forbes, ND 58439-9132
Mailing address
PO Box 44
Forbes, ND 58439-0044
Phone (701) 535-0645
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. 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.