Provider Demographics
NPI:1255108098
Name:EVERY BODY HORMONES & AESTHETICS, LLC.
Entity type:Organization
Organization Name:EVERY BODY HORMONES & AESTHETICS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAHART
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:720-588-3249
Mailing Address - Street 1:11684 HURON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2942
Mailing Address - Country:US
Mailing Address - Phone:720-588-3249
Mailing Address - Fax:833-468-0039
Practice Address - Street 1:11684 HURON ST STE 104
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2942
Practice Address - Country:US
Practice Address - Phone:720-588-3249
Practice Address - Fax:833-468-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty