Individual
TAMARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
Mailing address
1124 4TH AVE N, SAUK RAPIDS, MN 56379
(320) 291-8773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06141301
MN
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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