Tepen, Colleen Elizabeth
Tepen, Colleen Elizabeth is an individual health care provider with primary practice located at 2920 Fee Fee Rd , Maryland Heights MO 63043-1915. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Tepen, Colleen Elizabeth can be contacted via phone (314) 291-0121.Contact Information
Primary practice address
2920 Fee Fee Rd
Maryland Heights MO 63043-1915
Phone: (314) 291-0121
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2015003907 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2003005382 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2015003907 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2003005382 | Missouri |
Profile Details
NPI number | 1215328174 |
---|---|
LBN Legal business name | Tepen, Colleen Elizabeth |
Credentials | AGNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2015 |
Last updated | Oct 12th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215328174 | NPPES |
Missouri | MEDICAID | 420020056 |
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