Individual
JACQUELINE L BAUERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT, CNA
Contact information
Practice address
2650 32ND AVE NE APT 1, HARVEY, ND 58341-8604
(701) 341-7476
Mailing address
2650 32ND AVE NE, HARVEY, ND 58341-8604
(170) 134-1747
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10014274
PHARMACY TECHNICIAN CERTIFICATION BOARD
ND
05
—
1451384
—
ND
01
—
16373
CERTIFIED NURSING ASSISTANT
ND
Enumeration date
10/09/2020
Last updated
10/09/2020
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