Azure, Tina M

Azure, Tina M is an sole proprietor health care provider with primary practice located at 9959 Bia Rd 25 , Dunseith ND 58329. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Azure, Tina M can be contacted via phone (701) 244-0693.

Contact Information

Primary practice address
9959 Bia Rd 25 Dunseith ND 58329
Phone: (701) 244-0693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X 1456575 North Dakota
Nursing Service Related Providers / Homemaker 376J00000X 1456575 North Dakota
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 1456575 North Dakota

Profile Details

NPI number 1548834989
LBN Legal business name Azure, Tina M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2021
Last updated May 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548834989 NPPES
North Dakota MEDICAID 1456575

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