MEDICARE: FNU TENZIN NYIMA

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1548116957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FNU TENZIN NYIMA

Provider Business Mailing Address
First Line	:	1600 W PLUM ST APT 20A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-3424
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 W PLUM ST APT 20A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-3424
Country	:	US
Telephone Number	:	646-713-4211
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ FNU TENZIN NYIMA ” Practice Location

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