Mylynn K Tufte, R.N.
Individual provider Active NPI Registered Nurse · Robinson, ND
NPI 1619793676 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1619793676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 31593 (ND)
- Practice address
- 2448 36TH Ave SE
Robinson, ND 58478 - Phone
- (602) 318-4239
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31593 | ND | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 31593 | ND | Yes |
Addresses
Primary practice location
2448 36TH Ave SE
Robinson, ND 58478
Mailing address
PO Box 128
Robinson, ND 58478
Phone (602) 318-4239
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.