Individual
TARA SIMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12364428-4405
UT
363LA2100X
Acute Care Nurse Practitioner
12364428-4405
UT
Other
Enumeration date
08/10/2021
Last updated
12/23/2024
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