Individual
MAISHA DOLLISON TAGOILELAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907-4094
(719) 327-5660
Mailing address
8448 ROARING FORK DR, COLORADO SPRINGS, CO 80924-8105
(719) 510-2578
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN-0000212-C-NP
CO
363LF0000X
Family Nurse Practitioner
APN-0000212-C-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN-0000212-C-NP
CO
Other
Enumeration date
08/28/2012
Last updated
08/16/2023
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