Roeder, Tenley Joy

Roeder, Tenley Joy is an sole proprietor health care provider with primary practice located at 1136 E Stuart St Ste 4101 , Fort Collins CO 80525-1173. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Roeder, Tenley Joy can be contacted via phone (970) 833-1280.

Contact Information

Primary practice address
1136 E Stuart St Ste 4101 Fort Collins CO 80525-1173
Phone: (970) 833-1280
Fax: (949) 437-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10022 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0010022-NP Colorado

Profile Details

NPI number 1184853715
LBN Legal business name Roeder, Tenley Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Apr 27th, 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 1184853715 NPPES
Colorado Other F0709352 FNP CERTIFICATION

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