MEDICARE: JOSEPH S FODAY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	R54486	ND

General Provider Information

NPI Number	:	1477432938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH S FODAY RN

Provider Business Mailing Address
First Line	:	6718 28TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5518
Country	:	US
Telephone Number	:	701-333-9692
Fax Number	:

Provider Business Practice Location Address
First Line	:	6718 28TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5518
Country	:	US
Telephone Number	:	701-333-9692
Fax Number	:	701-333-9692

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	09/05/2025

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Directions to “ JOSEPH S FODAY RN” Practice Location

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