Most Relevant Information
Provider Data
| NPI Number: | 1003671975 |
| Provider Name: | TARA HART |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2024 |
| Last Updated: | 02/19/2024 |
Provider Practice Location
1122 1ST AVE N
FARGO
ND
581024604
Practice Location Phone/Fax
| Phone: | 7012102491 |
| Fax: |
Provider Mailing Location
1122 1ST AVE N
FARGO
ND
581024604
Provider Mailing Phone/Fax
| Phone: | 7012102491 |
| Fax: |