Organization
OPTUM HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA DAWN COUGHLIN FNP-C (NURSE PRACTITIONER)
(303) 910-4069
Entity
Organization
Contact information
Practice address
6455 S YOSEMITE ST, 6TH FLOOR, GREENWOOD VILLAGE, CO 80111-5139
(303) 714-3442
Mailing address
6455 S YOSEMITE ST, 6TH FLOOR, GREENWOOD VILLAGE, CO 80111-5139
(303) 714-3442
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APN.0992523-NP
CO
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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