NPI 1558793034

Terra L Provost, ND

Practitioner Naturopath Fargo, ND

Practice location

Address: 1203 28th St S, Fargo, ND 58103-8711
Phone: (218) 303-9003
Fax: (888) 651-4713
Mailing address: 206 Sheyenne Dr, Horace, ND 58047-4418

Registered specialties (3)

Naturopath Primary

Other Service Providers Taxonomy 175F00000X Licence 2017-02 (ND)

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Other Service Providers Taxonomy 175F00000X Licence ND774 (CA)

Registry record

NPI: 1558793034
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2013
Record last updated: 10 Sep 2019

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.