Individual provider · Type 1 NPI

Beverly Tanaka, PNP

Pediatric Nurse Practitioner · Golden, CO

NPI number 1881756955 Active

Practice location

2901 Ford St
Golden, CO 80401-2422

Mailing address

2446 S Tennyson St
Denver, CO 80219-6401

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN-56697 (CO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1881756955

Beverly Tanaka, PNP's National Provider Identifier is 1881756955, issued on Dec 15, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Golden, CO. The record was last updated on Jul 8, 2007.