Individual provider · Type 1 NPI

Tara Marie Cristallo

Student in an Organized Health Care Education/Training Program · Denver, CO

NPI number 1275274532 Active

Practice location

777 Bannock St # MC0108
Denver, CO 80204-4507

Other practice locations

  • 1959 NE Pacific St Ste A-300, Seattle, WA 98195-0001 · (206) 543-7212

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTL.0009615 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275274532

Tara Marie Cristallo's National Provider Identifier is 1275274532, issued on Apr 2, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Denver, CO. The record was last updated on Apr 2, 2023.