Healthcare Provider Details

I. General information

NPI: 1518891233
Provider Name (Legal Business Name): DORENA MAY ZAMORA PADAMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 N 27TH ST
BISMARCK ND
58501-3122
US

IV. Provider business mailing address

912 N 27TH ST
BISMARCK ND
58501-3122
US

V. Phone/Fax

Practice location:
  • Phone: 701-204-5753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: