Healthcare Provider Details

I. General information

NPI: 1508721051
Provider Name (Legal Business Name): TRINA MORIN CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4527 HWY 281
BELCOURT ND
58316
US

IV. Provider business mailing address

PO BOX 75
BELCOURT ND
58316-0075
US

V. Phone/Fax

Practice location:
  • Phone: 701-550-0818
  • Fax:
Mailing address:
  • Phone: 701-550-0818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number40281
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: