Provider Demographics
NPI:1760089064
Name:WILKIE, NARRELL A
Entity Type:Individual
Prefix:MRS
First Name:NARRELL
Middle Name:A
Last Name:WILKIE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NARRELL
Other - Middle Name:A
Other - Last Name:WILKIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10562 33RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:DUNSEITH
Mailing Address - State:ND
Mailing Address - Zip Code:58329-9436
Mailing Address - Country:US
Mailing Address - Phone:701-389-2027
Mailing Address - Fax:
Practice Address - Street 1:10564 33RD AVE NE
Practice Address - Street 2:
Practice Address - City:DUNSEITH
Practice Address - State:ND
Practice Address - Zip Code:58329-9436
Practice Address - Country:US
Practice Address - Phone:701-389-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant