Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2006-0155 | NM |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 49697 | CO |
NPI | 1164488045 |
---|---|
Provider Name | Teresa C Harper |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 30/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
99823063 | (05) | CO |
J80249 | (02) |