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Individual

ANGELA TARCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
5400 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2913
(952) 993-1000
Mailing address
5400 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2913
(952) 993-1000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
192990
TN
363L00000X
Nurse Practitioner
Primary
CNP6412
MN
363L00000X
Nurse Practitioner
R2469878
MN
363LF0000X
Family Nurse Practitioner
6412
MN

Other

Enumeration date
03/08/2018
Last updated
08/05/2019
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