Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | MP990237 | CO |
NPI | 1023385820 |
---|---|
Provider Name | Tara Seaman |
First Address | Aurora, CO 80045-2527 |
Second Address | Aurora, CO 80045-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2011 |
Last Update Date | 21/11/2011 |