Individual
CORINNA TER-ANTONYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2594 TRAILRIDGE DR E, LAFAYETTE, CO 80026-3186
(303) 449-7740
Mailing address
2594 TRAILRIDGE DR E, LAFAYETTE, CO 80026-3186
(303) 449-7740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5013478
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994760-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0994760-NP
CO
Other
Enumeration date
09/20/2019
Last updated
05/03/2023
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