Mrs Tammy Faith Portugal, LPN - Licensed Practical Nurse in Boulder, CO

Mrs Tammy Faith Portugal, LPN is a Licensed Practical Nurse based in Boulder, Colorado. Mrs Tammy Faith Portugal is licensed to practice in Colorado (license number 39378) and her current practice location is 580 Mohawk Dr, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at (303) 614-1493.

NPI number for Mrs Tammy Faith Portugal is 1053591404 and her current mailing address is 10455 Clarkson St, Northglenn, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053591404.

Contact Information

Mrs Tammy Faith Portugal, LPN
580 Mohawk Dr,
Boulder, CO 80303-3712
(303) 614-1493
Not Available



Provider's Profile

Full NameMrs Tammy Faith Portugal
GenderFemale
SpecialityLicensed Practical Nurse
Location580 Mohawk Dr, Boulder, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053591404
  • Provider Enumeration Date: 11/13/2007
  • Last Update Date: 11/13/2007

Medical Identifiers

Medical identifiers for Mrs Tammy Faith Portugal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053591404NPI-NPPES
39378OtherCOLPN LISCENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 39378 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tammy Faith Portugal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tammy Faith Portugal, LPN
10455 Clarkson St,
Northglenn, CO 80233-4217

Ph: (303) 280-3589
Mrs Tammy Faith Portugal, LPN
580 Mohawk Dr,
Boulder, CO 80303-3712

Ph: (303) 614-1493

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Boulder, CO

Mrs. Dana Prosser, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 720-564-0959    
Marjon Indra Pekelharing, LPN, PH.D.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1333 Iris Ave, Boulder, CO 80304
Phone: 303-443-8500    
Jessica Wallace,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-554-5185    
Maureen Soucy, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1031 Portland Pl, #6, Boulder, CO 80304
Phone: 908-494-6334    
Gwendilyn Suzanne Love,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4500 19th St Lot 398, Boulder, CO 80304
Phone: 720-329-3494    
Kristina Marie Layton,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 580 Mohawk Dr, Boulder, CO 80303
Phone: 303-614-1492    Fax: 303-614-1505

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