Individual provider · Type 1 NPI

Tara June Bugge, RD, LD.

Student in an Organized Health Care Education/Training Program · St. Paul, MN

NPI number 1316697196 Active

Practice location

1449 Cleveland Ave N
St. Paul, MN 55108-1413

Mailing address

3050 Ewing Ave S Apt 109
Minneapolis, MN 55416-4249

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316697196

Tara June Bugge, RD, LD.'s National Provider Identifier is 1316697196, issued on Mar 25, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 25, 2022.