NPI 1134654189

Tina Dunford, CNA

Practitioner Nurse's Aide Brigham City, UT

Practice location

Address: 458 N 600 W, Brigham City, UT 84302-1756
Phone: (435) 695-3896

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence UT000341370112 (UT)

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Registry record

NPI: 1134654189
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2017
Record last updated: 27 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.