Healthcare Provider Details

I. General information

NPI: 1114872165
Provider Name (Legal Business Name): TAYLER TREMBATH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4567 E 9TH AVE
DENVER CO
80220-3908
US

IV. Provider business mailing address

40 BLUE HERON DR
THORNTON CO
80241-4101
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-2121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001845
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: