Provider Demographics
NPI:1568578276
Name:BURDI, TAMARA M (CNP)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:M
Last Name:BURDI
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:701 E. HAMPDEN AVE
Mailing Address - Street 2:#120
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113
Mailing Address - Country:US
Mailing Address - Phone:303-781-5299
Mailing Address - Fax:303-781-5809
Practice Address - Street 1:701 E. HAMPDEN AVE
Practice Address - Street 2:#120
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113
Practice Address - Country:US
Practice Address - Phone:303-781-5299
Practice Address - Fax:303-781-5809
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO127056363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO127056OtherSTATE LICENSE