Healthcare Provider Details

I. General information

NPI: 1336073790
Provider Name (Legal Business Name): SATTA DARVINA FREEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6296 86TH AVE S
HORACE ND
58047-2924
US

IV. Provider business mailing address

6296 86TH AVE S
HORACE ND
58047-2924
US

V. Phone/Fax

Practice location:
  • Phone: 701-876-9136
  • Fax: 701-876-9136
Mailing address:
  • Phone: 701-876-9136
  • Fax: 701-876-9136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: