Healthcare Provider Details

I. General information

NPI: 1932498821
Provider Name (Legal Business Name): TAMERA SHARANE HUDSON-WHITE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMERA SHARANE HUDSON RN

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10065 E HARVARD AVE STE 400
DENVER CO
80231-5968
US

IV. Provider business mailing address

527 N MILLBROOK ST
AURORA CO
80018-1654
US

V. Phone/Fax

Practice location:
  • Phone: 303-614-1400
  • Fax:
Mailing address:
  • Phone: 720-288-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number168306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: