Individual
TANYA MARIE WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
448 E 1ST ST STE 137, SALIDA, CO 81201-2867
(719) 539-4510
(719) 539-7197
Mailing address
448 E 1ST ST STE 137, SALIDA, CO 81201-2867
(719) 539-4510
(719) 539-7197
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN.1669174
CO
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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