Rupert, Tarah

Rupert, Tarah is an individual health care provider with primary practice located at 2500 Rocky Mountain Ave Ste 340 , Loveland CO 80538-9004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rupert, Tarah can be contacted via phone (704) 824-3739.

Contact Information

Primary practice address
2500 Rocky Mountain Ave Ste 340 Loveland CO 80538-9004
Fax: (970) 203-7179
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X C-APN.0000925-C-NP Colorado

Profile Details

NPI number 1982114930
LBN Legal business name Rupert, Tarah
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Nov 4th, 2020 - about 6 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 1982114930 NPPES
Colorado MEDICAID 9000156816

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