Individual
TANYA NETZEL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6796
(970) 498-6772
Mailing address
1525 BLUE SPRUCE DR, FORT COLLINS, CO 80524-2004
(970) 498-6796
(970) 498-6772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198528
CO
Other
Enumeration date
05/16/2013
Last updated
10/26/2015
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