Healthcare Provider Details

I. General information

NPI: 1275135022
Provider Name (Legal Business Name): TESSA SPENCER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 E COLFAX AVE
DENVER CO
80206-1412
US

IV. Provider business mailing address

2608 E COLFAX AVE
DENVER CO
80206-1412
US

V. Phone/Fax

Practice location:
  • Phone: 303-305-5875
  • Fax: 303-305-5877
Mailing address:
  • Phone: 701-212-0987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0023410
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: