Individual
SHELLY BROTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 381-9927
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 381-9927
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/07/2021
Last updated
04/25/2024
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