Healthcare Provider Details

I. General information

NPI: 1003735747
Provider Name (Legal Business Name): JENNIFER DROGOSCH-GARBERICH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 LEGION DR STE 1
MONTEVIDEO MN
56265-1723
US

IV. Provider business mailing address

525 LEGION DR STE 1
MONTEVIDEO MN
56265-1723
US

V. Phone/Fax

Practice location:
  • Phone: 320-269-2929
  • Fax:
Mailing address:
  • Phone: 320-269-2929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number2516866
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: