Healthcare Provider Details

I. General information

NPI: 1366367120
Provider Name (Legal Business Name): EVA GARREAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 3RD ST. N P.O BOX 1654
NEWTOWN ND
58763
US

IV. Provider business mailing address

PO BOX 1654
NEW TOWN ND
58763-1654
US

V. Phone/Fax

Practice location:
  • Phone: 701-421-4673
  • Fax:
Mailing address:
  • Phone: 701-421-4673
  • 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: