MEDICARE: TAMRA A SCHUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R30631	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104065499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMRA A SCHUE

Provider Business Mailing Address
First Line	:	PO BOX 6001
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58108-6001
Country	:	US
Telephone Number	:	701-364-3300
Fax Number	:	701-364-8906

Provider Business Practice Location Address
First Line	:	5257 27TH ST S STE 201
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7782
Country	:	US
Telephone Number	:	701-356-5503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	12/07/2021

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Directions to “ TAMRA A SCHUE ” Practice Location

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