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Mrs. Tammy Faith Portugal, LPN
Licensed Practical Nurse in Boulder, Colorado
NPI 1053591404

Tammy Faith Portugal is a Licensed Practical Nurse based in Northglenn, CO. Tammy Faith Portugal practices in Boulder, CO and has the professional credentials of LPN. The NPI Number for Tammy Faith Portugal is 1053591404 and holds a License No. 39378 (Colorado).

The current practice location address for Tammy Faith Portugal is 580 Mohawk Dr, Boulder, CO and can be reached out via phone at 303-614-1493.

Location: 580 Mohawk Dr, Boulder, CO, 80233-4217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053591404
Provider Name
Tammy Faith Portugal
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
580 Mohawk Dr, Boulder, CO, 80233-4217
Phone Number
303-614-1493
Fax Number
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39378 01 CO LPN LISCENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
580 Mohawk Dr
City
Boulder
State
Colorado
Zip
80303-3712
Phone Number
303-614-1493
Fax Number
person
Provider Business Mailing Address Details
Address
580 Mohawk Dr
City
Boulder
State
Colorado
Zip
80303-3712
Phone Number
303-614-1493
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
39378 (Colorado)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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