MEDICARE: MISCHELLE TAFOYA

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1578908257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISCHELLE TAFOYA

Provider Business Mailing Address
First Line	:	1184 CLINTON ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-3111
Country	:	US
Telephone Number	:	720-400-6550
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 E CHERRY CREEK SOUTH DR
Second Line	:	STE 940
City	:	GLENDALE
State	:	CO
Zip	:	80246-1518
Country	:	US
Telephone Number	:	303-322-7108
Fax Number	:

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

Provider Enumeration Date	:	05/07/2013
Last Update Date	:	05/07/2013

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