Theresa Enno
Individual provider Active NPI Case Manager/Care Coordinator · Valley City, ND
NPI 1700517109 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1700517109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 415 2ND Ave NE
Valley City, ND 58072-3061 - Phone
- (701) 269-4419
- NPI assigned
- Jun 17, 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
415 2ND Ave NE
Valley City, ND 58072-3061
Mailing address
415 2ND Ave NE
Valley City, ND 58072-3061
Phone (701) 269-4419
Other providers in Valley City, ND
- Paul L Diegel
- Tanya L Diegel
- Jennifer Eberle
- Jennifer Edwards
- Encompass Family Support Services
- Jesse Daniel Everson
- Family Health Care Center
- Foell Chiropractic Clinic PA
- Justin Reed Foell
- Teresa D Formo
All providers in Valley City, ND · Case Manager/Care Coordinator 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 Jun 17, 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.