Individual
TAMMIE J. HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1380 S COLUMBIA RD, GRAND FORKS, ND 58201-4059
(701) 795-2000
(701) 780-4391
Mailing address
2401 DEMERS AVE -ALTRU BUSINESS CENTER, GRAND FORKS, ND 58201
(701) 780-1891
(701) 776-5448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0031
ND
363L00000X
Nurse Practitioner
PAC0031
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18978
BCBSND
ND
05
—
71216
—
ND
01
—
N4691
BLUE SHIELD
ND
Enumeration date
09/20/2006
Last updated
10/13/2020
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