Moody, Tamara N

Moody, Tamara N is an individual health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907-6819. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Moody, Tamara N can be contacted via phone (719) 776-8040.

Contact Information

Primary practice address
2222 N Nevada Ave Colorado Springs CO 80907-6819
Phone: (719) 776-8040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 78654 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0004179-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X C-APN.0004179-C-NP Colorado

Profile Details

NPI number 1336601004
LBN Legal business name Moody, Tamara N
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Jun 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336601004 NPPES
Kansas Other 78654 LICENSE

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