Individual
TARA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(651) 285-5286
Mailing address
867 S PARK DR, HASTINGS, MN 55033-3826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 135248-5
MN
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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