O'Connor, Tara Gene

O'Connor, Tara Gene is an individual health care provider with primary practice located at 799 E Hampden Ave Ste 300 , Englewood CO 80113-2762. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Connor, Tara Gene can be contacted via phone (303) 788-6490.

Contact Information

Primary practice address
799 E Hampden Ave Ste 300 Englewood CO 80113-2762
Phone: (303) 788-6490
Fax: (303) 788-5451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN-163779 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP5752 Colorado

Profile Details

NPI number 1265692776
LBN Legal business name O'Connor, Tara Gene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Feb 1st, 2022 - about 2 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 1265692776 NPPES
Colorado MEDICAID 23109777

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