Provider Demographics
NPI:1245590850
Name:NAZARIO, TARA LYNN
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:LYNN
Last Name:NAZARIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 SCOTT BLVD
Mailing Address - Street 2:203
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7903
Mailing Address - Country:US
Mailing Address - Phone:720-216-7712
Mailing Address - Fax:
Practice Address - Street 1:521 SCOTT BLVD
Practice Address - Street 2:203
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7903
Practice Address - Country:US
Practice Address - Phone:720-216-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula