Individual
TYNA MARIE HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3221 32ND AVE S STE 700, GRAND FORKS, ND 58201-6075
(701) 239-3700
Mailing address
631 GREAT PLAINS CT, GRAND FORKS, ND 58201-7747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12807
ND
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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