Tanabe, Teresa

Tanabe, Teresa is an individual health care provider with primary practice located at 5996 E 64Th Ave , Commerce City CO 80022-3317. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Tanabe, Teresa can be contacted via phone (720) 463-6758.

Contact Information

Primary practice address
5996 E 64Th Ave Commerce City CO 80022-3317
Phone: (720) 463-6758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 991480 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0991480-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95000952 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN.0991480-NP Colorado

Profile Details

NPI number 1861895807
LBN Legal business name Tanabe, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2014
Last updated Jul 21st, 2023 - 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 1861895807 NPPES
Colorado MEDICAID 07786751

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