Healthcare Provider Details

I. General information

NPI: 1538084561
Provider Name (Legal Business Name): BLESSING MAGOROMONZI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 KAMROSE DR # 223
BISMARCK ND
58504-7339
US

IV. Provider business mailing address

2902 KAMROSE DR # 223
BISMARCK ND
58504-7339
US

V. Phone/Fax

Practice location:
  • Phone: 737-288-2382
  • Fax:
Mailing address:
  • Phone: 737-288-2382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number144941
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: