Provider Demographics
NPI:1003650466
Name:TAMAYO, DANIEL FERNANDEZ (DNP, BSN, RN)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FERNANDEZ
Last Name:TAMAYO
Suffix:
Gender:M
Credentials:DNP, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 SPRING ST APT 308
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1631
Mailing Address - Country:US
Mailing Address - Phone:702-885-2282
Mailing Address - Fax:
Practice Address - Street 1:1425 SPRING ST APT 308
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1631
Practice Address - Country:US
Practice Address - Phone:702-885-2282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61209743163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse