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NPI Code Detail

MEDICARE: MS. MICHELLE ANDREA TIJERINA BA

MEDICARE: MS. MICHELLE ANDREA TIJERINA BA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1821127317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE ANDREA TIJERINA BA
Provider Business Mailing Address
First Line : 5607 E 14TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2672
Country : US
Telephone Number : 720-620-1435
Fax Number :
Provider Business Practice Location Address
First Line : 1405 FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80204-2211
Country : US
Telephone Number : 303-504-1526
Fax Number : 303-825-1711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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