Individual
TARA MELBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2828 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 0201573
CO
367A00000X
Advanced Practice Midwife
Primary
APN.0991039-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375524
—
CO
01
—
391821YKRD
MEDICARE NUMBER
CO
Enumeration date
02/05/2014
Last updated
01/02/2025
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