Individual
TINA M NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4740 FLINTRIDGE DR STE 220O, COLORADO SPRINGS, CO 80918-4273
(719) 407-3312
(719) 284-7041
Mailing address
4740 FLINTRIDGE DR STE 220O, COLORADO SPRINGS, CO 80918-4273
(719) 407-3312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1634461
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995055-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000176721
—
CO
Enumeration date
08/26/2019
Last updated
12/21/2023
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