Individual
TENNILLE RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
172 W 1ST AVE, SPRINGFIELD, CO 81073-1011
(719) 691-4488
(833) 450-2207
Mailing address
172 W 1ST AVE, SPRINGFIELD, CO 81073-1011
(719) 691-4488
(833) 450-2207
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0992173
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992173
LICENSE
—
05
—
22730061
—
CO
Enumeration date
01/21/2016
Last updated
06/25/2025
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