Provider Demographics
NPI:1164133898
Name:ANDRYS, BETH WELTE (CNA)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:WELTE
Last Name:ANDRYS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 5TH AVE # 175
Mailing Address - Street 2:
Mailing Address - City:EDGELEY
Mailing Address - State:ND
Mailing Address - Zip Code:58433-7424
Mailing Address - Country:US
Mailing Address - Phone:701-830-2298
Mailing Address - Fax:
Practice Address - Street 1:1395 47TH ST NE
Practice Address - Street 2:
Practice Address - City:LARIMORE
Practice Address - State:ND
Practice Address - Zip Code:58251-9600
Practice Address - Country:US
Practice Address - Phone:701-397-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant