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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA MENDOZZA DECRESCENTIS, PA-C.

Active

TARA MENDOZZA DECRESCENTIS, PA-C. is a Medical Physician Assistant healthcare provider located in LONE TREE, Colorado. NPI 1407973266 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LONE TREE, CO

Registration Details

NPI Number
1407973266
Provider Type
Individual
Gender
Female
NPI Issued
Mar 24, 2007 (19.416637146201 yrs)
Last Updated
Mar 17, 2018
Licenses
2368 (CO)
2368 (CO)
2368 (CO)

Practice Information

Address
10099 RIDGEGATE PKWY STE 480
LONE TREE, CO, 801245537
Browse CO providers · Browse ZIP 80124
Phone
7204414021
Fax
7203601195
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LONE TREE, CO

Name Credential NPI
MRS. JOY GARRISON PA 1558348391
MR. KYLE D HUNTER PA 1184696536
MRS. KELLY ANN PETERS PA-C 1225091788
MRS. REBECCA L ISAACSON PA 1235242843
MELISSA R VANSICKEL P.A. 1568559250
MR. VINCENZO RANDAZZO PA 1417034737
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.