Dr Tanya S Tanner, PHD APN CNM PMHNP-BC | |
80 Garden Ctr Ste 138, Broomfield, CO 80020-1790 | |
(720) 415-0101 | |
(833) 907-2210 |
Full Name | Dr Tanya S Tanner |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 80 Garden Ctr Ste 138, Broomfield, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437147444 | NPI | - | NPPES |
90409523 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 2154 (Colorado) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0996437-NP (Colorado) | Primary |
Entity Name | Cultivate Mental Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023691490 PECOS PAC ID: 7719381847 Enrollment ID: O20210811000887 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanya S Tanner, PHD APN CNM PMHNP-BC 11164 Cherokee St, Northglenn, CO 80234-3918 Ph: (303) 918-9828 | Dr Tanya S Tanner, PHD APN CNM PMHNP-BC 80 Garden Ctr Ste 138, Broomfield, CO 80020-1790 Ph: (720) 415-0101 |
Mrs. Melanie Jane Dennis, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12537 Rivera St, Broomfield, CO 80020 Phone: 303-548-1924 | |
Ms. Mara Talin Minasian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Airport Way Ste 125, Broomfield, CO 80021 Phone: 970-310-3406 | |
Hollie Brieske, AGPCNP-B.C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5023 W 120th Ave, Suite #312, Broomfield, CO 80020 Phone: 720-644-9355 Fax: 720-523-1654 | |
Audrey Jo Haimes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 Fax: 303-658-9828 | |
Lora Shima, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 | |
Grace Ann Staehlin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 | |
Grayson Alexandra Braddy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3694 Shadow Canyon Trl, Broomfield, CO 80020 Phone: 970-402-0667 |