Individual
SARAH TARUTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-5000
(218) 333-5880
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R116114-2
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232G9TA
BCBS
MN
05
—
440066600
—
MN
01
—
P00200347
RR MEDICARE
MN
Enumeration date
07/29/2006
Last updated
12/07/2020
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