Individual
TAMARA LOIS RAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
270 MAIN ST N STE 300, STILLWATER, MN 55082
(651) 342-1039
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP4677
MN
Other
Enumeration date
08/25/2016
Last updated
05/04/2026
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