Nordberg, Tara Marie

Nordberg, Tara Marie is an individual health care provider with primary practice located at 17230 Jackson Creek Pkwy Ste 300 , Monument CO 80132-7306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nordberg, Tara Marie can be contacted via phone (719) 571-7000.

Contact Information

Primary practice address
17230 Jackson Creek Pkwy Ste 300 Monument CO 80132-7306
Phone: (719) 571-7000
Fax: (719) 571-7059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0996939-NP Colorado

Profile Details

NPI number 1104585744
LBN Legal business name Nordberg, Tara Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2021
Last updated Jan 5th, 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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