DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELENA SHADE FRAGOZA

Active

ELENA SHADE FRAGOZA is a Driver healthcare provider located in BISMARCK, North Dakota. NPI 1205615192 is currently active in the NPPES registry. Verify at CMS.

Driver · BISMARCK, ND

Registration Details

NPI Number
1205615192
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2023 (2.8494316147255 yrs)
Last Updated
Sep 28, 2023
License
FRA-93-0293 (ND)

Practice Information

Address
1308 ELBOWOOD LN
BISMARCK, ND, 585035712
Browse ND providers · Browse ZIP 58503
Phone
7017518267
Primary Specialty
Driver
172A00000X

Other Driver Providers in BISMARCK, ND

Name Credential NPI
JEREMY DION CLEMONS 1821729898
BRANDON MATTHEW HORSE LOOKING 1134838428
LOWELL G LITTLE EAGLE 1275243768
BEARS STAR 1285321398
KAYLEN ABIGAIL FOX 1114614237
MYRON ANTHONY FOOTE 1659050060
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.