Individual
TASHA MARIE KOEDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10259 SOUTH PARKER ROAD, PARKER, CO 80134
(303) 805-2273
Mailing address
3722 SOUTH MALTA STREET, AURORA, CO 80013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990832-NP
CO
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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