Individual provider · Type 1 NPI

Stacie Medenwald

Personal Care Attendant · Fargo, ND

NPI number 1376452623 Active

Practice location

714 18th St S
Fargo, ND 58103-2425

Call (701) 318-2762 Map

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1376452623

Stacie Medenwald's National Provider Identifier is 1376452623, issued on Sep 3, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Fargo, ND. The record was last updated on Sep 3, 2026.