MRS. PA-C Tyesha Dawn Marie Dent, NPI 1811036247
Medical Physician Assistant in Elgin, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811036247
NPI Entity Type Individual
Provider Name MRS. PA-C Tyesha Dawn Marie Dent
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 302 North Main, Elgin, ND, US
Provider Mailing Address 6857 Hwy. 21, Elgin, ND, US, 58533
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AM0700X

Taxonomy Name Medical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. PAC0361
License State ND
Description Definition to come...

Other Name

MS. Tyesha Dawn Marie Sitsler
Former Name

Business Address

MRS. PA-C Tyesha Dawn Marie Dent
302 North Main

Elgin, ND, US

Phone: 701-584-3010
Fax: 701-584-3011

Mailing Address

MRS. PA-C Tyesha Dawn Marie Dent
6857 Hwy. 21
Elgin, ND, US
ZIP 58533
Phone: 701-584-3246
Fax: 701-584-3011

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
11228 ND MEDICAID 05
MD1531412 ND DEA 01
28537 ND BLUE CROSS BLUE SHIELD 01

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NPI Name Taxonomy Address

1417688698

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Organization

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Organization

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Organization

Occupational Therapist

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LPCC Megan Tarryn Degenstein

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Mental Health Counselor

1330 23rd St S

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