Individual
TARA L SCHLATTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PARK NICOLLET CLINIC SENIOR SERVICES, 3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 993-5041
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(952) 993-7169
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R 141410-3
MN
363L00000X
Nurse Practitioner
Primary
15488-33
WI
Other
Enumeration date
12/22/2005
Last updated
09/19/2024
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