Kaitlan Elizabeth Neard
Individual provider Active NPI Homemaker · Fargo, ND
NPI 1750118287 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1750118287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 5001 44TH Ave S Apt 209
Fargo, ND 58104-4382 - Phone
- (406) 939-4179
- NPI assigned
- Sep 18, 2024
- 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 |
|---|---|---|---|---|
| Homemaker |
376J00000X | Yes |
Addresses
Primary practice location
5001 44TH Ave S Apt 209
Fargo, ND 58104-4382
Mailing address
5001 44TH Ave S Apt 209
Fargo, ND 58104-4382
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. 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.