Individual
TIA NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N BROADWAY APT 210, MINOT, ND 58703-1334
(701) 339-7940
Mailing address
1100 N BROADWAY APT 210, MINOT, ND 58703-1334
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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