Individual
MRS. CHALLSEY FAYE SCALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
1014 4TH ST NE, DEVILS LAKE, ND 58301-2702
(013) 500-3257
Mailing address
1014 4TH ST NE, DEVILS LAKE, ND 58301-2702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R36735
ND
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35541
IHS
—
Enumeration date
02/16/2012
Last updated
10/29/2020
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