IndividualActive
Shantell Boston
NPI 1659229532 · PACE Provider Organization · Grand Forks, ND
Provider details
- NPI number
- 1659229532
- Entity type
- Individual
- Primary specialty
- PACE Provider OrganizationAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
750 N 43rd St
Grand Forks, ND 58203-1900
Phone: (504) 390-4482
Approximate (ZIP-level) locationGet directions
Mailing address
750 N 43rd St
Grand Forks, ND 58203-1900
Registry dates
- Enumerated
- 2026-03-18
- Last updated
- 2026-03-18
- Certified
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.