Provider Demographics
NPI:1770297715
Name:MUSA, CAROLINE ATAPKWO
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ATAPKWO
Last Name:MUSA
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 1:5151 AMBER VALLEY PKWY S APT 22
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8678
Mailing Address - Country:US
Mailing Address - Phone:701-809-3320
Mailing Address - Fax:
Practice Address - Street 1:5151 AMBER VALLEY PKWY S APT 22
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8678
Practice Address - Country:US
Practice Address - Phone:701-809-3320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant