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Organization

HAPPY DAISY LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TENLEY J ROEDER NP (PSYCHIATRIC MENTAL HEALTH NP)
(970) 833-1280
Entity
Organization

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

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10022
CO

Other

Enumeration date
03/29/2017
Last updated
04/27/2022
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