| NPI | 1073947982 |
|---|---|
| Former Name | COURTNEY NICHOLE TENBARGE OR KASUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992420-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0205602) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2019-07-29 |