Provider Demographics
NPI:1316928542
Name:MEURER, TAMRA MARIE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:MARIE
Last Name:MEURER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 WYNDHAM HILL RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-7201
Mailing Address - Country:US
Mailing Address - Phone:970-388-5588
Mailing Address - Fax:970-282-0824
Practice Address - Street 1:1236 E ELIZABETH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4000
Practice Address - Country:US
Practice Address - Phone:970-488-1668
Practice Address - Fax:970-472-9381
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0076875363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07768757Medicaid
NE10025181600Medicaid
COP00314037OtherMEDICARE CO RR-GSNC INDIV
CO500015349OtherRR MEDICARE
CO651431OtherBCBS
COP01086321OtherMEDICARE CO RR-RMIDC INDIV
COP00314037OtherMEDICARE CO RR-GSNC INDIV
CO07768757Medicaid