Individual
JULIE E TANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1929 N WASHINGTON ST STE F, BISMARCK, ND 58501-7604
(701) 712-0066
(701) 712-0077
Mailing address
3100 N 11TH ST STE 1, BISMARCK, ND 58503-1210
(701) 712-0066
(701) 712-0077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R26921
ND
363LF0000X
Family Nurse Practitioner
Primary
R26921
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19722
—
ND
01
—
500026115
RR MEDICARE
ND
Enumeration date
05/31/2006
Last updated
02/06/2025
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