Guy, Tara Lynn

Guy, Tara Lynn is an individual health care provider with primary practice located at 3676 Parker Blvd , Pueblo CO 81008-2212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Guy, Tara Lynn can be contacted via phone (719) 553-2201.

Contact Information

Primary practice address
3676 Parker Blvd Pueblo CO 81008-2212
Phone: (719) 553-2201
Fax: (719) 553-2224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1156 Colorado

Profile Details

NPI number 1801921119
LBN Legal business name Guy, Tara Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Sep 16th, 2015 - about 11 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 1801921119 NPPES
Colorado MEDICAID 40725022

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