Individual
TARA ANNE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
6491 UNDESTAD ST, EDEN PRAIRIE, MN 55346-2217
(612) 280-3693
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2146836
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2146836
MN
Other
Enumeration date
06/29/2023
Last updated
02/03/2025
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