Provider Demographics
NPI:1679894711
Name:FOLZ, BELINDA ELAINE (LPN)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:ELAINE
Last Name:FOLZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:ELAINE
Other - Last Name:RUDIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:29005 110TH ST. NW
Mailing Address - Street 2:
Mailing Address - City:ANGUS
Mailing Address - State:MN
Mailing Address - Zip Code:54762
Mailing Address - Country:US
Mailing Address - Phone:701-741-5178
Mailing Address - Fax:
Practice Address - Street 1:106 4TH AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537
Practice Address - Country:US
Practice Address - Phone:218-998-3778
Practice Address - Fax:218-998-3187
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL29830-4164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse