Individual
TARA JUSTINE O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1745 SHEA CENTER DR., STE 400, HIGHLANDS RANCH, CO 80129
(720) 715-8474
Mailing address
1745 SHEA CENTER DR STE 400, HIGHLANDS RANCH, CO 80129-1540
(720) 715-8474
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1000665
CO
Other
Enumeration date
03/14/2025
Last updated
03/19/2025
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