Healthcare Provider Details

I. General information

NPI: 1023922150
Provider Name (Legal Business Name): PATRICIA ALVIDREZ
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: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 7TH AVE NW
MINOT ND
58703-1889
US

IV. Provider business mailing address

2704 7TH AVE NW
MINOT ND
58703-1889
US

V. Phone/Fax

Practice location:
  • Phone: 701-509-5677
  • Fax:
Mailing address:
  • Phone: 701-509-5677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: