Tammy Faith Portugal LPN

NPI 1053591404 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053591404
Gender Female
Enumeration Date 11/13/2007
Last Updated 11/13/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
580 MOHAWK DR
BOULDER CO, 80303-3712, US
Phone (303) 614-1493
Fax
Business Location
10455 CLARKSON ST
NORTHGLENN CO, 80233-4217, US
Phone (303) 280-3589
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Colorado
License Number 39378
Remove 1053591404 NPI Number
 

According to our database, Mrs. Tammy Faith Portugal LPN NPI is 1053591404, taxonomy code is 164W00000X and license number is 39378, license state is located at Colorado. Tammy Faith Portugal LPN physically located at 580 Mohawk Dr, Boulder CO, 80303-3712. NPI Number Tammy Faith Portugal LPN has the Individual type.

Sponsored links

1053591404 NPI number is provided on an as is basis without warranty of any kind. 1053591404 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Faith Portugal LPN are for informational purposes only.