| Dr Tanya S Tanner, PHD APN CNM PMHNP-BC | |
|
80 Garden Ctr Ste 138, Broomfield, CO 80020-1790 | |
| (720) 415-0101 | |
| (833) 907-2210 |
| Full Name | Dr Tanya S Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 80 Garden Ctr Ste 138, Broomfield, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437147444 | NPI | - | NPPES |
| 90409523 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 2154 (Colorado) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APN.0996437-NP (Colorado) | Primary |
| Entity Name | Cultivate Mental Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023691490 PECOS PAC ID: 7719381847 Enrollment ID: O20210811000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanya S Tanner, PHD APN CNM PMHNP-BC 11164 Cherokee St, Northglenn, CO 80234-3918 Ph: (303) 918-9828 | Dr Tanya S Tanner, PHD APN CNM PMHNP-BC 80 Garden Ctr Ste 138, Broomfield, CO 80020-1790 Ph: (720) 415-0101 |
Thomas Sittig, APRN - FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 340 E 1st Ave Ste 102, Broomfield, CO 80020 Phone: 720-798-0170 Fax: 303-862-7102 | |
Mrs. Melanie Jane Dennis, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12537 Rivera St, Broomfield, CO 80020 Phone: 303-548-1924 | |
Ms. Mara Talin Minasian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12303 Airport Way Ste 125, Broomfield, CO 80021 Phone: 970-310-3406 | |
Ashley Gerk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 Fax: 303-658-9808 | |
Audrey Jo Haimes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2355 W 136th Ave, Broomfield, CO 80023 Phone: 303-658-9827 Fax: 303-658-9828 | |
Lora Shima, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12167 Sheridan Blvd, Broomfield, CO 80020 Phone: 303-658-9807 | |
Valerie Anne Shade, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16286 Avalanche Run, Broomfield, CO 80023 Phone: 720-757-2007 |