Healthcare Provider Details

I. General information

NPI: 1891578373
Provider Name (Legal Business Name): SANDRA VALERIA MARTINEZ TENREIRO PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 E TUFTS AVE
DENVER CO
80237-2579
US

IV. Provider business mailing address

24516 E POWERS AVE
AURORA CO
80016-3898
US

V. Phone/Fax

Practice location:
  • Phone: 303-872-7553
  • Fax:
Mailing address:
  • Phone: 39-021-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1645829
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0999557
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: