Healthcare Provider Details

I. General information

NPI: 1730019902
Provider Name (Legal Business Name): KANDY ANN DESCHAMP CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KANDY ANN FLUHRER CNA

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3182 BUREAU OF INDIAN AFFAIRS ROAD 6 303
DUNSEITH ND
58329-0303
US

IV. Provider business mailing address

3182 BUREAU OF INDIAN AFFAIRS ROAD 6 303
DUNSEITH ND
58329-0303
US

V. Phone/Fax

Practice location:
  • Phone: 701-550-6392
  • Fax:
Mailing address:
  • Phone: 701-550-6392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: