Individual
JESUSITA ELVIRA TAFOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
416 COLORADO AVE, PUEBLO, CO 81004-2011
(719) 924-9128
(719) 924-8053
Mailing address
11 CHURCHILL PL, PUEBLO, CO 81001-2124
(719) 406-5291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0993590-NP
CO
Other
Enumeration date
12/04/2017
Last updated
12/07/2022
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