Healthcare Provider Details

I. General information

NPI: 1407538440
Provider Name (Legal Business Name): PAIGE BRITTANEY BURKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 E SCHLIEMAN AVE
APPLETON MN
56208-1414
US

IV. Provider business mailing address

428 E SCHLIEMAN AVE
APPLETON MN
56208-1414
US

V. Phone/Fax

Practice location:
  • Phone: 320-413-0026
  • Fax:
Mailing address:
  • Phone: 320-413-0026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: