NPI 1871144758

Taytiana Anderson

Practitioner Prevention Professional Northglenn, CO

Practice location

Address: 11892 McCrumb Dr, Northglenn, CO 80233-1231
Phone: (720) 253-4902

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence BACB515641 (CO)

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Registry record

NPI: 1871144758
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2019
Record last updated: 23 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.