MEDICARE: LINDA TUZZOLINO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	1617263	CO
2	363L00000X	Nurse Practitioner	APN.0992590-NP	CO
3	363LF0000X	Family Nurse Practitioner	APN.0992590-NP	CO

General Provider Information

NPI Number	:	1144625641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA TUZZOLINO NP

Provider Business Mailing Address
First Line	:	2525 13TH ST
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-4104
Country	:	US
Telephone Number	:	303-449-6050
Fax Number	:	720-206-0434

Provider Business Practice Location Address
First Line	:	8354 E NORTHFIELD BLVD FL 3
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3131
Country	:	US
Telephone Number	:	303-250-8427
Fax Number	:	888-437-8409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	02/20/2020

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