Provider Demographics
NPI:1609172626
Name:APURON, TANYA (LMT, CNMT)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:APURON
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 E JEFFERSON ST STE E
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7125
Mailing Address - Country:US
Mailing Address - Phone:719-243-5469
Mailing Address - Fax:719-570-7718
Practice Address - Street 1:1022 E JEFFERSON ST STE E
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-7125
Practice Address - Country:US
Practice Address - Phone:719-243-5469
Practice Address - Fax:719-570-7718
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10768171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor