TARAH THEVENOT

Nurse Practitioner

Active Individual
NPI: 1275146524

Practice Address

1702 E PIKES PEAK AVE
Colorado Springs, CO 80909

Phone: (719) 358-7338

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 11008733 (FL)
Nurse Practitioner - Family 363LF0000X No 11008733 (FL)
Nurse Practitioner 363L00000X Yes C-APN.0002436-C-NP (CO)

Frequently Asked Questions

NPI 1275146524 is the National Provider Identifier for TARAH THEVENOT, a Nurse Practitioner provider located in Colorado Springs, CO. This NPI was enumerated on August 26, 2020.
TARAH THEVENOT practices at 1702 E PIKES PEAK AVE, Colorado Springs, CO 80909.

Quick Facts

NPI
1275146524
Type
Individual
Enumerated
Aug 26, 2020
Last Updated
Nov 5, 2021

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