Provider Demographics
NPI:1720562333
Name:GABBERT, TAVIA LEE (NP)
Entity Type:Individual
Prefix:
First Name:TAVIA
Middle Name:LEE
Last Name:GABBERT
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:2 S CASCADE AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1604
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2909
Practice Address - Street 1:11552 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-3302
Practice Address - Country:US
Practice Address - Phone:303-469-6000
Practice Address - Fax:303-469-2922
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0991257-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily