Individual
TARA L HILSCHER DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3171 44TH ST S UNIT 101, FARGO, ND 58104-8521
(800) 437-4387
(701) 235-0330
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-1728
(701) 234-7334
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R 147251-4
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R33165
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14706
—
ND
05
—
601823800
—
MN
Enumeration date
08/20/2006
Last updated
11/12/2024
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