Individual
NICOLE W EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 3RD AVE NE, DEVILS LAKE, ND 58301-2113
(701) 270-2394
Mailing address
821 3RD AVE NE, DEVILS LAKE, ND 58301-2113
(701) 270-2394
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ND
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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