Individual
MRS. COLLEEN ELIZABETH TEPEN
Active
Individual
MRS. COLLEEN ELIZABETH TEPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2003005382
MO
363LA2200X
Adult Health Nurse Practitioner
2015003907
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2003005382
MO
363LG0600X
Gerontology Nurse Practitioner
2015003907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420020056
—
MO
Enumeration date
02/13/2015
Last updated
10/12/2021
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