Provider Demographics
NPI:1851995856
Name:FEIST, TERRI
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:FEIST
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 1:1839 34TH ST S APT 202
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-4601
Mailing Address - Country:US
Mailing Address - Phone:701-660-9025
Mailing Address - Fax:
Practice Address - Street 1:1839 34TH ST S APT 202
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4601
Practice Address - Country:US
Practice Address - Phone:701-660-9025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant