Individual
TERESA TANABE
Active
Individual
TERESA TANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
991480
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0991480-NP
CO
363LP2300X
Primary Care Nurse Practitioner
95000952
CA
363LP2300X
Primary Care Nurse Practitioner
APN.0991480-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07786751
—
CO
Enumeration date
10/05/2014
Last updated
07/21/2023
Update your record
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