Healthcare Provider Details

I. General information

NPI: 1598678849
Provider Name (Legal Business Name): DANAE ALLERY CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 1ST ST NE
DEVILS LAKE ND
58301-3003
US

IV. Provider business mailing address

613 1ST ST NE
DEVILS LAKE ND
58301-3003
US

V. Phone/Fax

Practice location:
  • Phone: 701-350-8140
  • Fax:
Mailing address:
  • Phone: 701-350-8140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number70957
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: