Provider Demographics
NPI:1053295857
Name:POITRA, FRANCINE MARIE
Entity type:Individual
Prefix:
First Name:FRANCINE
Middle Name:MARIE
Last Name:POITRA
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 1:14730 MORTENSON ST
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-9111
Mailing Address - Country:US
Mailing Address - Phone:701-871-1846
Mailing Address - Fax:
Practice Address - Street 1:14730 MORTENSON ST
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-9111
Practice Address - Country:US
Practice Address - Phone:701-871-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND0006187491253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care