IndividualActive
Tracy Charboneau, REGISTERED NURSE
NPI 1013686682 · Registered Nurse · Fort Totten, ND
Provider details
- NPI number
- 1013686682
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- R35885 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
816 3rd Ave N
Fort Totten, ND 58335-9998
Phone: (701) 766-4285
Fax: (701) 766-1229
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 88
Fort Totten, ND 58335-0088
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.