Provider Demographics
NPI:1164203899
Name:SLOMINSKI, GENEVIEVE MARY
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MARY
Last Name:SLOMINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4931 36TH ST NE
Mailing Address - Street 2:
Mailing Address - City:MADDOCK
Mailing Address - State:ND
Mailing Address - Zip Code:58348-9607
Mailing Address - Country:US
Mailing Address - Phone:701-509-6515
Mailing Address - Fax:
Practice Address - Street 1:4931 36TH ST NE
Practice Address - Street 2:
Practice Address - City:MADDOCK
Practice Address - State:ND
Practice Address - Zip Code:58348-9607
Practice Address - Country:US
Practice Address - Phone:701-509-6515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND28308376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide