Tricia M Fossum in Fargo - Nurse Practitioner
Tricia M Fossum - NPI 1629099858
Tricia M Fossum is a Nurse Practitioner in Fargo, North Dakota. Tricia M Fossum practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tricia M Fossum is 1629099858. The last update date is 2007-07-08.
Tricia M Fossum's current location address is 737 Broadway, Fargo, North Dakota. You can contact this provider via phone number 7012346236 and fax number 7012347332. The mailing address for Tricia M Fossum is 737 Broadway, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tricia M Fossum |
|---|---|
| Address | 737 Broadway, Fargo, North Dakota |
| Phone Number | 7012346236 |
| Fax Number | 7012347332 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1629099858 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 737 Broadway |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581220001 |
| Phone Number | 7012346236 |
| Fax Number | 7012347332 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R25993 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identifier code issued to Tricia M Fossum by the Centers for Medicare & Medicaid Services?
The Tricia M Fossum has been assigned the NPI (National Provider Identifier) 1629099858. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tricia M Fossum's facilities are geographically located?
The facilities of Tricia M Fossum are physically situated at the following location: 737 Broadway, Fargo, ND, 581220001.
What is the area of specialization for Tricia M Fossum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tricia M Fossum is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629099858 to Tricia M Fossum?
The Centers for Medicare & Medicaid Services originally issued the 1629099858 to Tricia M Fossum on 2006-07-22.
When was the information regarding Tricia M Fossum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tricia M Fossum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.