Provider Demographics
NPI:1235983511
Name:PARISIEN, KABRYNE TYLO
Entity Type:Individual
Prefix:
First Name:KABRYNE
Middle Name:TYLO
Last Name:PARISIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 5TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:ND
Mailing Address - Zip Code:58735-3001
Mailing Address - Country:US
Mailing Address - Phone:701-898-1983
Mailing Address - Fax:
Practice Address - Street 1:220 5TH AVE SE
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:ND
Practice Address - Zip Code:58735-3001
Practice Address - Country:US
Practice Address - Phone:701-898-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant