Healthcare Provider Details

I. General information

NPI: 1679373815
Provider Name (Legal Business Name): JUNE KRAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 13TH AVE NE APT 304
DEVILS LAKE ND
58301-2331
US

IV. Provider business mailing address

715 13TH AVE NE APT 304
DEVILS LAKE ND
58301-2331
US

V. Phone/Fax

Practice location:
  • Phone: 701-381-0743
  • Fax:
Mailing address:
  • Phone: 701-381-0743
  • 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: