Provider Demographics
NPI:1508565805
Name:OSIENGER, DIXIE LEA
Entity Type:Individual
Prefix:
First Name:DIXIE
Middle Name:LEA
Last Name:OSIENGER
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 66
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:ND
Mailing Address - Zip Code:58782-0066
Mailing Address - Country:US
Mailing Address - Phone:701-871-7900
Mailing Address - Fax:
Practice Address - Street 1:141 4TH AVE W
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:ND
Practice Address - Zip Code:58782-4111
Practice Address - Country:US
Practice Address - Phone:701-871-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant