Individual
MRS. TANYA SAMANTHA CROWE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
4110 51ST AVE S, FARGO, ND 58104-7776
(701) 390-6393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201498
ND
Other
Enumeration date
02/06/2025
Last updated
03/27/2025
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