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Contact Information

TYRA SHAW
418 5T ST NE APT 401
DEVILS LAKE, ND58301
 Phone: 701-381-0868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
Indicates primary specialty

NPI Profile & details for TYRA SHAW · (Female)

NPI # 1679431209
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2026
Last updated 01/13/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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