Provider Demographics
NPI:1730784463
Name:BRUNMEIER, HELMA
Entity type:Individual
Prefix:
First Name:HELMA
Middle Name:
Last Name:BRUNMEIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:HAZEN
Mailing Address - State:ND
Mailing Address - Zip Code:58545-0211
Mailing Address - Country:US
Mailing Address - Phone:701-748-5564
Mailing Address - Fax:
Practice Address - Street 1:210 3RD ST NW
Practice Address - Street 2:
Practice Address - City:HAZEN
Practice Address - State:ND
Practice Address - Zip Code:58545-4334
Practice Address - Country:US
Practice Address - Phone:701-748-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant