Individual
TANA J CIAVARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-6000
(701) 323-5823
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0216
ND
Other
Enumeration date
09/15/2006
Last updated
10/11/2013
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