TARA R LARSON

FARGO, ND
NPI1184914160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R37536)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  AA113010)
Enumeration Date2011-04-12
Last Update Date2012-07-26
Business Address
-- TARA R LARSON CRNA
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
Mailing Address
-- TARA R LARSON CRNA
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-8000