Individual
TARA SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
6909 RUSSELL AVE S, RICHFIELD, MN 55423-2025
(406) 208-0050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
221870-6
MN
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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