Individual
CARLY LUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 7TH AVE SE, STANLEY, ND 58784-4400
(701) 313-0229
Mailing address
PO BOX 371, STANLEY, ND 58784-0371
(701) 313-0229
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472287
—
ND
Enumeration date
10/19/2020
Last updated
10/19/2020
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