Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0993011-NP | CO |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN.0993011-NP | CO |
NPI | 1043744360 |
---|---|
Provider Name | Tayler Thompson |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2017 |
Last Update Date | 25/10/2019 |