Individual
TENLEY JOY ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1136 E STUART ST STE 4101, FORT COLLINS, CO 80525-1173
(970) 833-1280
(949) 437-2021
Mailing address
1136 E STUART ST STE 4101, FORT COLLINS, CO 80525-1173
(970) 833-1280
(949) 437-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10022
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0010022-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0709352
FNP CERTIFICATION
CO
Enumeration date
07/02/2009
Last updated
04/27/2022
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