Portugal, Tammy Faith

Portugal, Tammy Faith is an sole proprietor health care provider with primary practice located at 580 Mohawk Dr , Boulder CO 80303-3712. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Portugal, Tammy Faith can be contacted via phone (303) 614-1493.

Contact Information

Primary practice address
580 Mohawk Dr Boulder CO 80303-3712
Phone: (303) 614-1493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 39378 Colorado

Profile Details

NPI number 1053591404
LBN Legal business name Portugal, Tammy Faith
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053591404 NPPES
Colorado Other 39378 LPN LISCENSE NUMBER

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