Individual
MRS. TARA NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 COUNTY ROAD E E, WHITE BEAR LAKE, MN 55110-4963
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8739
MN
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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