Healthcare Provider Details

I. General information

NPI: 1922721364
Provider Name (Legal Business Name): FRANCINE R AYON ARCADIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 31ST AVE SW APT 104
MINOT ND
58701
US

IV. Provider business mailing address

1909 31ST AVE SW APT 104
MINOT ND
58701
US

V. Phone/Fax

Practice location:
  • Phone: 701-609-7742
  • Fax:
Mailing address:
  • Phone: 701-609-7742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1482954
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: