Provider Demographics
NPI:1275835035
Name:TUNE, MARTIN CLEVELAND IV (RN)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:CLEVELAND
Last Name:TUNE
Suffix:IV
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 E 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2107
Mailing Address - Country:US
Mailing Address - Phone:720-425-9885
Mailing Address - Fax:
Practice Address - Street 1:2221 E 14TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2107
Practice Address - Country:US
Practice Address - Phone:720-425-9885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX759255163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse