Healthcare Provider Details

I. General information

NPI: 1629396767
Provider Name (Legal Business Name): TINA L MCFARLIN MSW & CNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TINA L ULATOWSKI MSW & CNC

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12744 W. BOWLES PLACE
LITTLETON CO
80127
US

IV. Provider business mailing address

12744 W. BOWLES PLACE
LITTLETON CO
80127
US

V. Phone/Fax

Practice location:
  • Phone: 303-495-4514
  • Fax:
Mailing address:
  • Phone: 303-495-4514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: