Individual
MRS. TAMARA JO OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
500 4TH AVE SE, WASECA, MN 56093-3408
(507) 833-2379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1290592
MN
Other
Enumeration date
12/20/2012
Last updated
06/26/2023
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