DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TERESA TANABE

MEDICARE: TERESA TANABE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner991480CO
2363LG0600XGerontology Nurse PractitionerAPN.0991480-NPCO
3363LP2300XPrimary Care Nurse Practitioner95000952CA
4363LP2300XPrimary Care Nurse PractitionerAPN.0991480-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861895807
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA TANABE
Provider Business Mailing Address
First Line : PO BOX 746081
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6081
Country : US
Telephone Number : 312-733-9730
Fax Number : 303-996-1600
Provider Business Practice Location Address
First Line : 5996 E 64TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3317
Country : US
Telephone Number : 720-463-6758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2014
Last Update Date : 07/21/2023

Similar Medicare Providers

1609582733 — OAK STREET HEALTH PHYSICIANS GROUP OF COLORADO, PLLC
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax: 720-640-3314
1508882531 — MRS. CYNTHIA DOLORES HONGAMEN ARNP
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax:
1700091584 — MRS. JENNIFER LYNN FLORES PA C
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax: 720-640-3314
1194977181 — MS. DENISE GERDA BASCH PA
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax:
1851827323 — PETER YU
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax: 720-640-3314
1437628567 — ARCHANA KAYASTHA
Practice Location Address:
5996 E 64TH AVE
COMMERCE CITY, CO
80022-3317
Practice Phone: 720-463-6758
Practice Fax: 720-640-3314

Directions to “ TERESA TANABE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.