Provider Demographics
NPI:1346002128
Name:DROSDAL, ARVELLA JEANENE
Entity Type:Individual
Prefix:
First Name:ARVELLA
Middle Name:JEANENE
Last Name:DROSDAL
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:PO BOX 63
Mailing Address - Street 2:
Mailing Address - City:BELFIELD
Mailing Address - State:ND
Mailing Address - Zip Code:58622-0063
Mailing Address - Country:US
Mailing Address - Phone:701-260-8347
Mailing Address - Fax:
Practice Address - Street 1:12841 37TH ST SW
Practice Address - Street 2:
Practice Address - City:BELFIELD
Practice Address - State:ND
Practice Address - Zip Code:58622-9237
Practice Address - Country:US
Practice Address - Phone:701-260-8347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant