Provider Demographics
NPI:1760957369
Name:READ, TANYA N (BSN, RN)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:N
Last Name:READ
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:N
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:700 COLUMBINE ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3728
Mailing Address - Country:US
Mailing Address - Phone:970-522-3741
Mailing Address - Fax:970-522-1412
Practice Address - Street 1:700 COLUMBINE ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-3728
Practice Address - Country:US
Practice Address - Phone:970-522-3741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0201749163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health