Tamara Norsworthy

NPI 1972704658 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1972704658
Gender Female
Enumeration Date 05/30/2007
Last Updated 12/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
4165 30TH AVE S
SUITE 101
FARGO ND, 58104-8419, US
Phone (701) 492-5864
Fax (866) 397-7399
Business Location
4165 30TH AVE S
SUITE 101
FARGO ND, 58104-8419, US
Phone (701) 492-5864
Fax (866) 397-7399
Toxanomy
Taxonomy Code 363LF0000X
License State Illinois
License Number 209.066501
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According to our database, Tamara Norsworthy NPI is 1972704658, taxonomy code is 363LF0000X and license number is 209.066501, license state is located at Illinois. Tamara Norsworthy physically located at 4165 30th Ave S, Fargo ND, 58104-8419. NPI Number Tamara Norsworthy has the Individual type.

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1972704658 NPI number is provided on an as is basis without warranty of any kind. 1972704658 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Norsworthy are for informational purposes only.