Individual ProviderDeanna M BalvitschNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address737 Broadway, Fargo, ND 58122-0001(701) 234-5621PECOS EnrollmentBased on the most recent information from CMS, provider Deanna M Balvitsch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1124045117Provider TypeIndividualFull NameBalvitsch, Deanna MCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date7/16/2006Last Updated9/10/2008Contact InformationPractice LocationPractice Address737 Broadway, Fargo, ND 58122-0001Phone(701) 234-5621Fax(701) 234-7334Mailing LocationMailing Address737 Broadway, Fargo, ND 58122-0001Phone(701) 234-5621Fax(701) 234-7334Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR26347North Dakota