Provider Demographics
NPI:1396340535
Name:ARNESON-KVASAGER, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:ARNESON-KVASAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 3RD ST NW UNIT 105
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND FORKS
Mailing Address - State:MN
Mailing Address - Zip Code:56721-3604
Mailing Address - Country:US
Mailing Address - Phone:701-335-8664
Mailing Address - Fax:
Practice Address - Street 1:306 3RD ST NW UNIT 105
Practice Address - Street 2:
Practice Address - City:EAST GRAND FORKS
Practice Address - State:MN
Practice Address - Zip Code:56721-3604
Practice Address - Country:US
Practice Address - Phone:701-335-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant