Individual
TAMALA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
938 2ND AVE W, DICKINSON, ND 58601-3916
(701) 456-6000
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R24768
ND
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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