Provider Demographics
NPI:1164021606
Name:CIUFFINI, KORINA (CNA)
Entity Type:Individual
Prefix:
First Name:KORINA
Middle Name:
Last Name:CIUFFINI
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-0664
Mailing Address - Country:US
Mailing Address - Phone:701-500-0904
Mailing Address - Fax:
Practice Address - Street 1:2827 N BROADWAY
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-0664
Practice Address - Country:US
Practice Address - Phone:701-500-0904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-24
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant