Individual
CORRIE TIVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1929 N 11TH ST APT 5, BISMARCK, ND 58501-1916
(701) 206-0414
Mailing address
1929 N 11TH ST APT 5, BISMARCK, ND 58501-1916
(701) 206-0414
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R31795
ND
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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