Provider Demographics
NPI:1285429670
Name:BOHL, TWYLA REGINA X
Entity type:Individual
Prefix:
First Name:TWYLA
Middle Name:REGINA
Last Name:BOHL
Suffix:X
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:RUGBY
Mailing Address - State:ND
Mailing Address - Zip Code:58368-2026
Mailing Address - Country:US
Mailing Address - Phone:701-208-1154
Mailing Address - Fax:
Practice Address - Street 1:903 4TH ST SE
Practice Address - Street 2:
Practice Address - City:RUGBY
Practice Address - State:ND
Practice Address - Zip Code:58368-2026
Practice Address - Country:US
Practice Address - Phone:701-208-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
ND3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant