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Individual

TAMI SUE KING-LATKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1400 E BOULDER ST STE 2410, COLORADO SPRINGS, CO 80909-5533
(719) 365-6529
(719) 365-5831
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
93971
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0004035
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000207730
CO
Enumeration date
07/12/2006
Last updated
09/20/2022
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