Individual
TANYA L. HARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4036
(701) 234-4160
Mailing address
700 1ST AVE S, FARGO, ND 58103-1802
(701) 234-4036
(701) 234-4160
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10864
ND
2084N0400X
Neurology Physician
37088
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14742
—
ND
01
—
1740498104
MEDICA
ND
01
—
1740498104
HEALTHPARTNERS
—
01
—
54281
WELLMARK BCBS
IA
Enumeration date
05/18/2007
Last updated
03/29/2022
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