Most Relevant Information
Provider Data
| NPI Number: | 1003690397 |
| Provider Name: | TARA MISKO FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0998970-NP |
Most Important Dates
| Enumeration Date: | 08/21/2023 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
1925 MOUNTAIN VIEW AVE
LONGMONT
CO
805013128
Practice Location Phone/Fax
| Phone: | 7204943133 |
| Fax: | 7204943187 |
Provider Mailing Location
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND
CO
805389071
Provider Mailing Phone/Fax
| Phone: | 9706242409 |
| Fax: | 9704904155 |