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Individual

TINA RENEE KAUDERER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1001 S PERRY ST STE 104B, CASTLE ROCK, CO 80104-1950
(720) 485-3178
Mailing address
1001 S PERRY ST STE 104B, CASTLE ROCK, CO 80104-1950

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-11175
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN.0995983-NP
CO

Other

Enumeration date
06/13/2010
Last updated
02/23/2021
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