Healthcare Provider Details

I. General information

NPI: 1467393546
Provider Name (Legal Business Name): TAYLAH ANN THUMB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8717 31ST ST NE
WARWICK ND
58381-9400
US

IV. Provider business mailing address

8717 31ST ST NE
WARWICK ND
58381-9400
US

V. Phone/Fax

Practice location:
  • Phone: 701-230-9594
  • Fax:
Mailing address:
  • Phone: 701-230-9594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number1498267
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: