Individual
TARA DRERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7000
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0187265
CO
176B00000X
Midwife
Primary
APN.0992084-CNM
CO
Other
Enumeration date
02/08/2016
Last updated
05/05/2025
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