Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evans Tampubolon, RN

Individual provider Registered Nurse · NPI 1477221422

Evans Tampubolon, RN is a Registered Nurse in Aurora, Colorado. Licensed in Colorado. Registered with an NPI since 2021.

Licensed in
CO
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2500 S Havana St
Aurora, CO 80014-1618
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1642591 (CO)

Record details

NPI number1477221422
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021
Mailing address19179 E 54th Pl, Denver, CO 80249-8750

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