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Individual

MRS. TARA GENE O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
799 E HAMPDEN AVE STE 300, ENGLEWOOD, CO 80113-2762
(303) 788-6490
(303) 788-5451
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 788-8355
(303) 788-4448

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN-163779
CO
363LF0000X
Family Nurse Practitioner
Primary
NP5752
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23109777
CO
Enumeration date
06/10/2008
Last updated
02/01/2022
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