IndividualActive
Fidele Mutara
NPI 1952122095 · Nurse's Aide · Jamestown, ND
Provider details
- NPI number
- 1952122095
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- FID-92-9833
Specialties & taxonomies
Nursing Service Related Providers
Practice location
615 10th St Ne Apt 203
Jamestown, ND 58401-3422
Phone: (701) 809-2090
Approximate (ZIP-level) locationGet directions
Mailing address
615 10th St Ne Apt 203
Jamestown, ND 58401-3422
Registry dates
- Enumerated
- 2024-10-22
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.