Healthcare Provider Details

I. General information

NPI: 1386488757
Provider Name (Legal Business Name): ELIZABETH ANN ZAVORAL MS, CARE COORDINATOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 LIBRARY CIR
GRAND FORKS ND
58201-6326
US

IV. Provider business mailing address

1213 RYLAN RD
GRAND FORKS ND
58201-9519
US

V. Phone/Fax

Practice location:
  • Phone: 701-757-2155
  • Fax: 701-757-2156
Mailing address:
  • Phone: 218-779-6825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: