Individual
NANCY JELIMO TALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9642 FAIRWAY GLEN DR, PEYTON, CO 80831-4613
(571) 234-7455
Mailing address
9642 FAIRWAY GLEN DR, PEYTON, CO 80831-4613
(571) 234-7455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0997444
CO
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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