Provider Demographics
NPI:1184410094
Name:AZURE, RONETTE
Entity type:Individual
Prefix:
First Name:RONETTE
Middle Name:
Last Name:AZURE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:BELCOURT
Mailing Address - State:ND
Mailing Address - Zip Code:58316-1465
Mailing Address - Country:US
Mailing Address - Phone:701-953-7387
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1465
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-1465
Practice Address - Country:US
Practice Address - Phone:701-953-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker