Individual
TARA CHARBONEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN FNP-C
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
(701) 451-7891
Mailing address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 545-4497
(218) 546-4341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8249
MN
Other
Enumeration date
06/23/2021
Last updated
02/25/2025
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