Individual provider · NPI-1
Tara Gene O'Connor, FNP
Nurse Practitioner, Family · Englewood, CO
NPI number1265692776
StatusActive
Last updated in NPPESFeb 1, 2022
Details
- NPI
- 1265692776
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tara Gene O'Connor
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2008
- Last updated
- Feb 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP5752 | CO | Yes |
| 163WG0000X | Registered Nurse, General Practice | RN-163779 | CO |
Practice location
799 E Hampden Ave Ste 300Englewood, CO 80113-2762
Phone 303-788-6490 · Fax 303-788-5451
Mailing address
4900 S Monaco St Ste 210Denver, CO 80237-3487
Phone 303-788-8355 · Fax 303-788-4448
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