Melborne, Tara

Melborne, Tara is an sole proprietor health care provider with primary practice located at 225 S Union Blvd Second Floor, Colorado Springs CO 80910-3184. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Melborne, Tara can be contacted via phone (719) 632-5700.

Contact Information

Primary practice address
225 S Union Blvd Second Floor Colorado Springs CO 80910-3184
Phone: (719) 632-5700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 0201573 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN.0991039-CNM Colorado

Profile Details

NPI number 1588088942
LBN Legal business name Melborne, Tara
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2014
Last updated Apr 4th, 2017 - about 8 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 1588088942 NPPES
Colorado MEDICAID 02375524
Colorado Other 391821YKRD

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