Individual
TRACY SHERICE CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
816 3RD AVE N, FORT TOTTEN, ND 58335-9998
(701) 766-4285
(701) 766-1229
Mailing address
PO BOX 88, FORT TOTTEN, ND 58335-0088
(701) 766-4285
(701) 766-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R35885
ND
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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