Healthcare Provider Details

I. General information

NPI: 1104744622
Provider Name (Legal Business Name): HATTIE TURCOTTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 4TH ST W APT 8
WILLISTON ND
58801-5819
US

IV. Provider business mailing address

1711 4TH ST W APT 8
WILLISTON ND
58801-5819
US

V. Phone/Fax

Practice location:
  • Phone: 701-901-5812
  • Fax:
Mailing address:
  • Phone: 701-901-5812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberTUR-84-5132
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: