Individual
TAMARA L HARVANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
15026 WINDEMERE LN, BURNSVILLE, MN 55306-6155
(612) 702-5110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9847
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
9847
MN
Other
Enumeration date
12/30/2022
Last updated
06/12/2023
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