Provider Demographics
NPI:1578434064
Name:BANHIN, PATIENCE TOHATI
Entity type:Individual
Prefix:
First Name:PATIENCE
Middle Name:TOHATI
Last Name:BANHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PATIENCE
Other - Middle Name:TOHATI
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2261 112TH LN NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-3610
Mailing Address - Country:US
Mailing Address - Phone:701-805-5859
Mailing Address - Fax:
Practice Address - Street 1:12152 JONQUIL ST NW
Practice Address - Street 2:
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-1769
Practice Address - Country:US
Practice Address - Phone:701-805-5859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide