NPI 1013686682
Tracy Sherice Charboneau, REGISTEREDNURSE
Practice location
- Address
- 816 3rd Ave N, Fort Totten, ND 58335-9998
- Phone
- (701) 766-4285
- Fax
- (701) 766-1229
- Mailing address
- PO Box 88, Fort Totten, ND 58335-0088
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1013686682
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2021
- Record last updated
- 8 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.