Individual
TARA STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
4767 48TH AVE S, FARGO, ND 58104-6041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R41954
ND
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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