Healthcare Provider Details

I. General information

NPI: 1598333569
Provider Name (Legal Business Name): TSION TONA MAMO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 S MAIN ST STE 200
AURORA CO
80016-5361
US

IV. Provider business mailing address

6105 S MAIN ST STE 200
AURORA CO
80016-5361
US

V. Phone/Fax

Practice location:
  • Phone: 720-327-9967
  • Fax: 720-783-2812
Mailing address:
  • Phone: 720-327-9967
  • Fax: 720-783-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1001277
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberAPN.09963585-CNS
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License NumberAPN0996385-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: