Individual
KAITLEN KAROLINA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3362 119TH AVE SE, VALLEY CITY, ND 58072-9405
(701) 840-4630
Mailing address
340 9TH ST NW, VALLEY CITY, ND 58072-2125
(701) 840-4630
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R47841
ND
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
R47841
ND
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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