Most Relevant Information
Provider Data
NPI Number: | 1003492364 |
Provider Name: | NATALIE LUCILLE TANNENBAUM |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | PA.0006741 |
Most Important Dates
Enumeration Date: | 03/18/2021 |
Last Updated: | 04/18/2023 |
Provider Practice Location
3501 S CLARKSON ST
ENGLEWOOD
CO
801133916
Practice Location Phone/Fax
Phone: | 3037838844 |
Fax: |
Provider Mailing Location
15455 CANYON RIM DR UNIT 207
ENGLEWOOD
CO
801124731
Provider Mailing Phone/Fax
Phone: | 3037262364 |
Fax: |