Individual
MS. TARAH RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(704) 824-3739
(970) 203-7179
Mailing address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(704) 824-3739
(970) 203-7179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0000925-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000156816
—
CO
Enumeration date
10/04/2017
Last updated
11/04/2020
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