Individual
TARAH SELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2200
Mailing address
3676 PARKER BLVD STE 260, PUEBLO, CO 81008-2282
(719) 553-2201
(833) 916-2047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993727
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14288871
CAQH
CO
Enumeration date
06/14/2018
Last updated
11/16/2022
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