Melborne, Tara
Melborne, Tara is an sole proprietor health care provider with primary practice located at 2828 International Cir , Colorado Springs CO 80910-3127. 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
2828 International Cir
Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Jan 2nd, 2025 - about last year |
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 | 1588088942 | NPPES |
| Colorado | MEDICAID | 02375524 | |
| Colorado | Other | 391821YKRD |
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