Most Relevant Information
Provider Data
| NPI Number: | 1003205105 |
| Provider Name: | TARYN PICKEREL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.1627778 |
Most Important Dates
| Enumeration Date: | 01/13/2015 |
| Last Updated: | 12/08/2016 |
Provider Practice Location
41 MONTEBELLO RD
SUITE 200
PUEBLO
CO
810011379
Practice Location Phone/Fax
| Phone: | 7195452746 |
| Fax: | 7195429638 |
Provider Mailing Location
1304 CHINOOK LN
PUEBLO
CO
810011851
Provider Mailing Phone/Fax
| Phone: | 7195452746 |
| Fax: | 7195840110 |