Individual provider · Type 1 NPI
Tasha Marie Koedam, NP
Family Nurse Practitioner · Parker, CO
NPI number
1376977314
Active
Practice location
10259 South Parker Road
Parker, CO 80134
Mailing address
3722 South Malta Street
Aurora, CO 80013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN.0990832-NP (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376977314
Tasha Marie Koedam, NP's National Provider Identifier is 1376977314, issued on Aug 27, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Parker, CO. The record was last updated on Aug 27, 2013.