Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 48114 | CO |
N | 208000000X | Pediatrician | 48114 | CO |
N | 2080P0214X | Pediatric Pulmonologist | 48114 | CO |
NPI | 1104912575 |
---|---|
Provider Name | Jennifer L Taylor-Cousar |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
23170361 | (05) | CO |