Provider Demographics
NPI:1922721364
Name:AYON ARCADIA, FRANCINE R
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:R
Last Name:AYON ARCADIA
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 1:1909 31ST AVE SW
Mailing Address - Street 2:APT 104
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701
Mailing Address - Country:US
Mailing Address - Phone:701-609-7742
Mailing Address - Fax:
Practice Address - Street 1:1909 31ST AVE SW
Practice Address - Street 2:APT 104
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701
Practice Address - Country:US
Practice Address - Phone:701-609-7742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1482954Medicaid