Organization
NORTHERN COLORADO GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA MEURER N.P. (OWNER)
(970) 388-3279
Entity
Organization
Contact information
Practice address
2519 S SHIELDS ST, PMB I-143, FT COLLINS, CO 80526-1855
(970) 388-3279
(970) 419-4780
Mailing address
2519 S SHIELDS ST, PMB I-143, FT COLLINS, CO 80526-1855
(970) 388-3279
(970) 419-4780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76875
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80627544
—
CO
01
—
DB5993
RR MEDICARE
CO
Enumeration date
11/05/2005
Last updated
08/22/2020
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