Individual
TARA BUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 4TH ST NE STE 8, DEVILS LAKE, ND 58301-2479
(701) 330-9168
Mailing address
211 4TH ST NE STE 8, DEVILS LAKE, ND 58301-2479
(701) 330-9168
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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