Individual
LAURIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10065 E HARVARD AVE, SUITE 400, DENVER, CO 80231-5968
(303) 614-1400
Mailing address
1180 BELLAIRE ST, BROOMFIELD, CO 80020-1439
(303) 513-2468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0071386
CO
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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