MEDICARE: AURA TUSBERG

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1558126789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURA TUSBERG

Provider Business Mailing Address
First Line	:	325 KING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-1326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105A COLORADO AVE
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-3522
Country	:	US
Telephone Number	:	970-244-0562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2024
Last Update Date	:	09/20/2024

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Directions to “ AURA TUSBERG ” Practice Location

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