Koedam, Tasha Marie

Koedam, Tasha Marie is an individual health care provider with primary practice located at 10259 South Parker Road , Parker CO 80134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koedam, Tasha Marie can be contacted via phone (303) 805-2273.

Contact Information

Primary practice address
10259 South Parker Road Parker CO 80134
Phone: (303) 805-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0990832-NP Colorado

Profile Details

NPI number 1376977314
LBN Legal business name Koedam, Tasha Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2013
Last updated Aug 27th, 2013 - about 13 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.

Request for update

Popular Providers