Provider Demographics
NPI:1093107278
Name:LINDER-MARTINEZ, TAMI (BSN, RN)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:LINDER-MARTINEZ
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9351 EASTMAN PARK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-3308
Mailing Address - Country:US
Mailing Address - Phone:970-460-9056
Mailing Address - Fax:970-460-9065
Practice Address - Street 1:9351 EASTMAN PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-3308
Practice Address - Country:US
Practice Address - Phone:970-460-9056
Practice Address - Fax:970-460-9065
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1626221163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse