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MR. LARRY EARL UNDERDUE
NPI 1790388718
Technician - Personal Care Attendant in Bismarck, ND

Active since November 20, 2020
420 E MAIN AVE APT 1011, BISMARCK, ND 58501(701) 204-1642 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Larry Earl Underdue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY EARL UNDERDUE (NPI 1790388718) is an individual personal care attendant in Bismarck, North Dakota, licensed in North Dakota (1478491) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1790388718
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. LARRY EARL UNDERDUE
Location Address420 E MAIN AVE APT 1011Bismarck, ND 58501-4069
Mailing Address420 E Main Ave Apt 1011Bismarck, ND 58501-4069 · (701) 204-1642
Phone(701) 204-1642
Sole ProprietorYes
Enumeration DateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1790388718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in ND · 1478491
Definition

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

420 E MAIN AVE APT 1011, Bismarck, ND 58501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Underdue's NPI number?

The NPI number for Larry Underdue is 1790388718. It was assigned to this individual provider in the NPPES registry on November 20, 2020.

Where is Larry Underdue located?

Larry Underdue practices at 420 E Main Ave Apt 1011, Bismarck, ND 58501. The listed phone number is (701) 204-1642.

What is Larry Underdue's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Larry Underdue was last updated on November 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.