Provider Demographics
NPI:1578908257
Name:TAFOYA, MISCHELLE
Entity Type:Individual
Prefix:
First Name:MISCHELLE
Middle Name:
Last Name:TAFOYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MISCHELLE
Other - Middle Name:
Other - Last Name:JENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1184 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-3111
Mailing Address - Country:US
Mailing Address - Phone:720-400-6550
Mailing Address - Fax:
Practice Address - Street 1:4500 E CHERRY CREEK SOUTH DR
Practice Address - Street 2:STE 940
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1518
Practice Address - Country:US
Practice Address - Phone:303-322-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide