Provider Demographics
NPI:1811633514
Name:MAKUVE-SAWYER, MARISA (CNA)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:MAKUVE-SAWYER
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 1:1213 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2621
Mailing Address - Country:US
Mailing Address - Phone:701-214-3972
Mailing Address - Fax:
Practice Address - Street 1:1213 N 3RD ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2621
Practice Address - Country:US
Practice Address - Phone:701-214-3972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant