Talita Goncalves Durazzo C Massarotto
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fargo, ND
NPI 1336059914 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1336059914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 300 45TH St S
Fargo, ND 58103-1189 - Phone
- (999) 999-9999
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | Yes |
Addresses
Primary practice location
300 45TH St S
Fargo, ND 58103-1189
Mailing address
5348 Old Jacksonville Hwy Apt 1322
Tyler, TX 75703-3367
Phone (561) 403-7418
Other providers in Fargo, ND
- Linda S Goldstone
- Rebecca Goltz
- Brock Gomer
- Jessica Gomez
- Jennifer Gomke
- Ciara Joanne Gonzales
- Michael F Gonzales
- Jody Lynn Goodell-Lange
- Crystal Sade Goodman
- Shelby Doris Goodman
All providers in Fargo, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.