Provider Demographics
NPI:1942802418
Name:POWER, VALERIE M
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:M
Last Name:POWER
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 1:401 1ST ST NTH
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:ND
Mailing Address - Zip Code:58579-7400
Mailing Address - Country:US
Mailing Address - Phone:701-734-6943
Mailing Address - Fax:
Practice Address - Street 1:401 1ST ST NTH
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:ND
Practice Address - Zip Code:58579-7400
Practice Address - Country:US
Practice Address - Phone:701-391-3663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND14533953747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant