Healthcare Provider Details

I. General information

NPI: 1730098070
Provider Name (Legal Business Name): LYNN C TIROP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 WALNUT ST
BOULDER CO
80302-5032
US

IV. Provider business mailing address

703 WALNUT ST
BOULDER CO
80302-5032
US

V. Phone/Fax

Practice location:
  • Phone: 970-516-2607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1002408-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: