Individual
TARA K WOODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
312 5TH AVE N, BAYPORT, MN 55003-1201
(651) 421-2914
Mailing address
312 5TH AVE N, BAYPORT, MN 55003-1201
(651) 421-2914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1735015
MN
363LF0000X
Family Nurse Practitioner
Primary
9499
MN
Other
Enumeration date
03/11/2009
Last updated
09/30/2024
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