Individual
MRS. TANJA REBEKKA KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
569 32 RD STE 12, GRAND JUNCTION, CO 81504-6095
(970) 523-3544
(970) 434-3422
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0993652.NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993652
STATE LICENSE
CO
Enumeration date
04/25/2018
Last updated
05/22/2019
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