Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry Earl Underdue

Individual provider Personal Care Attendant · NPI 1790388718

Mr. Larry Earl Underdue is a Personal Care Attendant in Bismarck, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2020

Practice location Address checks out

420 E Main Ave Apt 1011
Bismarck, ND 58501-4069
Phone: (701) 204-1642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 1478491 (ND)

Record details

NPI number1790388718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address420 E Main Ave Apt 1011, Bismarck, ND 58501-4069

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