Basic Information
| Provider Information | |||||||||
| NPI: | 1316928542 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEURER | ||||||||
| FirstName: | TAMRA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1137 WYNDHAM HILL RD | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805257201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9703885588 | ||||||||
| FaxNumber: | 9702820824 | ||||||||
| Practice Location | |||||||||
| Address1: | 1236 E ELIZABETH ST | ||||||||
| Address2: | SUITE 2 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805244000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704881668 | ||||||||
| FaxNumber: | 9704729381 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2005 | ||||||||
| LastUpdateDate: | 03/22/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | RN.0076875 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 07768757 | 05 | CO | MEDICAID | 10025181600 | 05 | NE | MEDICAID | P00314037 | 01 | CO | MEDICARE CO RR-GSNC INDIV | OTHER | 500015349 | 01 | CO | RR MEDICARE | OTHER | 651431 | 01 | CO | BCBS | OTHER | P01086321 | 01 | CO | MEDICARE CO RR-RMIDC INDIV | OTHER |