Female

Tricia M. Fossum NP

Nurse Practitioner in Fargo, ND(View on Map)

Full Name

Tricia M Fossum NP

NPI Number

1629099858

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/22/2006

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

R25993

Contact
Information

Purpose

Mailing
Location

Address

737 BROADWAY
737 BROADWAY N

City

Fargo
Fargo

State

ND
ND

Postal Code

58122-0001
58122-0001

Country

US
US

Telephone Number

(701) 234-6236
(701) 234-4811

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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